Active NPI
Suzannah Deborah Berlyne, M.D.
- Nephrology Physician
- Brooklyn, NY
National Provider Identifier
1164599122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 197128
- Practice address
- 125 Oceana Dr E
Apt 3H
Brooklyn, NY 11235-6691 - Phone
- (917) 532-7352
- Fax
- (917) 677-4812
- NPI assigned
- Nov 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 197128 | NY | Primary |
Addresses
Primary practice location
125 Oceana Dr E
Apt 3H
Brooklyn, NY 11235-6691
Mailing address
200 Riverside Blvd
Apt 20 D
New York, NY 10069-0901
Phone (212) 579-3838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02011549 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 197128 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Personal Touch Medical Care, P.C. | Past | Accepting new patients | |
| East Shore Medical PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1477508315
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1255546925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1164599122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVERSIDE BLVD",
"address_2": "APT 20 D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100690901",
"telephone_number": "212-579-3838",
"fax_number": "212-579-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 OCEANA DR E",
"address_2": "APT 3H",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112356691",
"telephone_number": "917-532-7352",
"fax_number": "917-677-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLYNE",
"first_name": "SUZANNAH",
"middle_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "197128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02011549",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.