Leonard Arthur Berlin, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

121933D Issued in NY

Practice address

180 Great Neck Road
Copiague, NY 11726

Phone

(631) 842-0770

Fax

(631) 842-6105

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

Specialty

Internal Medicine

Education

Other, 1973

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174623367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GREAT NECK ROAD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "11726",
            "telephone_number": "631-842-0770",
            "fax_number": "631-842-6105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 GREAT NECK ROAD",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "11726",
            "telephone_number": "631-842-0770",
            "fax_number": "631-842-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "LEONARD",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "121933D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavita Beharry-Mohan, MD
• Marielle Bellini
• Benjoegloballlc
• Martenise Bennett
• Tasha Benoit
• Ewa Bhola
• Deon Angela Bird
• Bishop Ryan Residence
• Board of Fire Commissioners of Copiague Fire Dist
• Jill Marie Bose, RN

• All providers in Copiague, NY
• Internal Medicine Physician in New York

• 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.

Verify at the official NPI Registry.