Jonathan Berall, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

109031 Issued in NY

Practice address

11 Wall Street
Medical Clinic, 9TH Floor
New York, NY 10005

Phone

(212) 656-7722

NPI assigned

Apr 9, 2008

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)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1154594364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 COLUMBIA HTS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112012140",
            "telephone_number": "212-614-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WALL STREET",
            "address_2": "MEDICAL CLINIC, 9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10005",
            "telephone_number": "212-656-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERALL",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "109031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roee Ber, MD
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• George Joseph Beraka, M.D.
• Yohana Kidane Beraki
• Tammy Beram
• Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C.
• Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C.
• Sarah Elizabeth Beranbaum, PHD
• Giammauro Berardi, MD, PHD

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.