Malcolm Berger, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001976 Issued in NY

Practice address

122 Southwoods Rd
Woodbury, NY 11797

Phone

(516) 921-6068

Fax

(516) 921-6068

NPI assigned

Dec 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1114229838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S WOODS RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 SOUTHWOODS RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "11797",
            "telephone_number": "516-921-6068",
            "fax_number": "516-921-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "MALCOLM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "001976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bayside Medical PC
• Lauren Beek
• Kelly Michele Behan, M.S., CCC-SLP, TSSLD
• Max Ryan Benezra, EDM, MA, LMHC
• Madeleine Elise Berg, CDN
• David M. Berk, D.D.S.
• Ravindra Kumar Bhachawat, M.D.
• Arpita Bhalodkar, M.D.
• Mallorie Brooke Bialick, MD
• Kathy Bih

• Physical Therapy Assistant in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.