Active NPI
Gary Steven Berger, M.D.
- Plastic Surgery Physician
- New York, NY
National Provider Identifier
1154351799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 200088
- Practice address
- 114 E 71St St
Suite 12
New York, NY 10021-5040 - Phone
- (212) 446-9500
- Fax
- (212) 988-1051
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 200088 | NY | Primary |
Addresses
Primary practice location
114 E 71St St
Suite 12
New York, NY 10021-5040
Mailing address
114 E 71St St
Suite 12
New York, NY 10021-5040
Phone (212) 446-9500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050922001094 | NY | Practitioner - General Surgery | 8022042621 | Practice locations: Yonkers, NY; Riverdale, NY; New York, NY; Bronx, NY |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
114 E 71St St
1W
New York, NY 10021-5038
Phone (212) 446-9500
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154351799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 71ST ST",
"address_2": "SUITE 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215040",
"telephone_number": "212-446-9500",
"fax_number": "212-988-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E 71ST ST",
"address_2": "SUITE 12",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215040",
"telephone_number": "212-446-9500",
"fax_number": "212-988-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "GARY",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "NY",
"license": "200088",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.