David Adam Berg, MD
Individual provider Active NPI Colon & Rectal Surgery Physician · Haddon Heights, NJ
NPI 1124286604 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1124286604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Colon & Rectal Surgery Physician 208C00000X
- License
- MD426634 (PA)
- Practice address
- 120 White Horse Pike
Suite 103
Haddon Heights, NJ 08035-1938 - Phone
- (856) 546-3900
- Fax
- (856) 546-3908
- NPI assigned
- May 30, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Colorectal Surgery (Proctology)
- Education
- Tufts University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aria Health Physician Services
Practice addresses (Care Compare)
2000 Grant Ave
Suite 103
Philadelphia, PA 19115-4378
Phone (215) 333-1776
Hospital & facility affiliations
- Jefferson Health- Northeast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 55 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170502000504 | PA | Practitioner - Colorectal Surgery (Proctology) |
5092853010 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Health Physician Services | Current |
Accepting new patients | |
| Aria Health Physician Services | Surgery | Current |
Accepting new patients |
| Aria Health Physician Services | Current | Accepting new patients | |
| Virtua Medical Group, PA | Past | Accepting new patients | |
| Surgical Specialists of New Jersey, LLC | Surgery | Past | Accepting new patients |
| Jefferson Health - Northeast | Past | Accepting new patients | |
| Aria Health Physician Services | Surgery | Past | Accepting new patients |
| Lourdes Medical Associates, PA | Surgery | Past | Accepting new patients |
Locations
380 N Oxford Valley Rd
Langhorne, PA 19047
Phone (215) 949-5000
3998 Red Lion Rd
Ste 235
Philadelphia, PA 19114
Phone (215) 632-3630
2000 Grant Ave
Ste 103
Philadelphia, PA 19115
Phone (215) 333-1776
5000 Frankford Ave
Ste 1B
Philadelphia, PA 19124
Phone (215) 583-2355
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 25MA08642000 | NJ | |
| Colon & Rectal Surgery Physician | 208C00000X | 25MA08642000 | NJ | |
| Surgery Physician | 208600000X | MD426634 | PA | |
| Colon & Rectal Surgery Physician | 208C00000X | MD426634 | PA | Yes |
Addresses
Primary practice location
120 White Horse Pike
Suite 103
Haddon Heights, NJ 08035-1938
Mailing address
500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0212563 | Medicaid | NJ |
Other providers in Haddon Heights, NJ
- Natalya Bauman
- Janice M Beitz
- Denise Bell
- Carlee Bellapigna
- Rachel D Berberabe
- Jennifer Michele Berlin
- Sandeep Bhargava
- Michael Arthur Blair
- Alexandra Claudia Block
- Angela Blomquist
All providers in Haddon Heights, NJ · Colon & Rectal Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.