Individual provider Active NPI

Craig Elliot Berzofsky, MD

  • Otolaryngology Physician
  • Ardsley, NY
National Provider Identifier
1184850489
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
254050 Issued in NY
Practice address
1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045
Phone
(914) 693-7636
Fax
(914) 693-5994
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-132054 IL
Otolaryngology Physician 207Y00000X 254050 NY Primary

Addresses

Primary practice location

1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045

Mailing address

1055 Saw Mill River Rd
Suite 101
Ardsley, NY 10502-1045
Phone (914) 693-7636

Other identifiers 1

IdentifierTypeStateIssuer
036132054MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008000750 NY Practitioner - Otolaryngology 7012157506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

122 Maple Ave
White Plains, NY 10601-4706
Phone (914) 285-9808

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1409
Phone (914) 242-2020

185 Kisco Ave
Suite 300
Mount Kisco, NY 10549-1411
Phone (914) 242-2020

21 Laurel Ave
Cornwall, NY 12518-1469
Phone (845) 822-2110

41 E Post Rd
White Plains, NY 10601-4607
Phone (914) 681-0600

750 White Plains Rd
Scarsdale, NY 10583-5002
Phone (914) 849-4300

99 Business Park Dr
Armonk, NY 10504-1720
Phone (914) 849-7900

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-132054ILMDOtolaryngology Physician
254050NYMDOtolaryngology Physician

Practice roles (1 of 5)

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Oct 13, 2019 Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

600 Mamaroneck Ave
Ste 101
Harrison, NY 10528
Phone (914) 686-0111

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

122 Maple Ave
Fl 9
White Plains, NY 10601
Phone (914) 849-3755

2 Longview Ave
White Plains, NY 10601
Phone (914) 681-2727

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1184850489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD",
            "address_2": "SUITE 101",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021045",
            "telephone_number": "914-693-7636",
            "fax_number": "914-693-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 SAW MILL RIVER RD",
            "address_2": "SUITE 101",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021045",
            "telephone_number": "914-693-7636",
            "fax_number": "914-693-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERZOFSKY",
        "first_name": "CRAIG",
        "middle_name": "ELLIOT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-132054",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "254050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036132054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardsley, NY

Sources for this page

Verify at the official NPI Registry.