Individual provider Active NPI

Jamila Berma

  • Assistant Behavior Analyst
  • Bronx, NY
National Provider Identifier
1174098305
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Practice address
4222 Monticello.Ave
Bronx, NY 10466
Phone
(718) 581-7320
NPI assigned
Oct 3, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior Analyst 106E00000X NU Primary

Addresses

Primary practice location

4222 Monticello.Ave
Bronx, NY 10466

Mailing address

4222 Monticello Ave
Bronx, NY 10466-2112
Phone (718) 581-7320

Other identifiers 1

IdentifierTypeStateIssuer
1234OtherEMBLE

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1174098305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 MONTICELLO AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104662112",
            "telephone_number": "718-581-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 MONTICELLO.AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10466",
            "telephone_number": "718-581-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMA",
        "first_name": "JAMILA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMBLE",
            "identifier": "1234",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.