Individual provider Active NPI

Charles Berk, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1144274150
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
173438 Issued in NY
Practice address
794 Union St
Brooklyn, NY 11215-1307
Phone
(212) 624-1077
Fax
(415) 252-7176
NPI assigned
May 22, 2006
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 173438 NY Primary

Addresses

Primary practice location

794 Union St
Brooklyn, NY 11215-1307

Mailing address

794 Union St
Brooklyn, NY 11215-1307
Phone (212) 624-1077

Other identifiers 1

IdentifierTypeStateIssuer
01191744MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060627000140 NY Practitioner - Family Practice 5991717589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
State University of New York Downstate Medical Center, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 0648408575, 29 clinicians

Practice addresses (Care Compare)

794 Union St
Brooklyn, NY 11215-1307
Phone (212) 624-1077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Feb 1, 2019 Accepting new patients
Mount Sinai School of Medicine Family Medicine CurrentSince Feb 1, 2019 Accepting new patients
New York University Past Accepting new patients
New York University Past Accepting new patients

Locations

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144274150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "794 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "212-624-1077",
            "fax_number": "212-867-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 UNION ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112151307",
            "telephone_number": "212-624-1077",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "173438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01191744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.