Organization Active NPI

Todd J Berman DMD, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • New York, NY
National Provider Identifier
1093807166
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X
License
032561 Issued in NY
Legal business name
TODD J BERMAN DMD, PC
Practice address
307 E 49TH St
New York, NY 10017-7306
Phone
(212) 888-7070
Fax
(212) 888-1114
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Todd J Berman, D.M.D.
Title
President
Phone
(212) 888-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery Clinic/Center 261QS0112X 032561 NY Primary

Addresses

Primary practice location

307 E 49TH St
New York, NY 10017-7306

Mailing address

307 E 49TH St
New York, NY 10017-7306
Phone (212) 888-7070

Other identifiers 1

IdentifierTypeStateIssuer
00382898MedicaidNY

National Provider Directory

National Provider Directory

Locations

307 E 49th St
New York, NY 10017
Phone (212) 752-7171

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1093807166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177306",
            "telephone_number": "212-888-7070",
            "fax_number": "212-888-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E 49TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100177306",
            "telephone_number": "212-888-7070",
            "fax_number": "212-888-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD J BERMAN DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-888-7070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "032561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00382898",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.