Organization Active NPI

Scott Berman MD PC

  • Obstetrics & Gynecology Physician
  • Stony Brook, NY
National Provider Identifier
1194085886
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
224865 Issued in NY
Legal business name
SCOTT BERMAN MD PC
Doing business as
Complete Womens Care
Practice address
2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555
Phone
(631) 675-9010
Fax
(631) 675-9009
NPI assigned
May 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Scott Berman, M.D.
Title
Chief Partner
Phone
(631) 675-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 224865 NY Primary

Addresses

Primary practice location

2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555

Mailing address

2500 Nesconset Hwy
Building 12 Suite 45
Stony Brook, NY 11790-2555
Phone (631) 675-9010

Other names 1

  • Complete Womens Care Doing business as

National Provider Directory

National Provider Directory

Locations

2500 Nesconset Hwy
Bldg 12
Stony Brook, NY 11790
Phone (631) 675-9010

NPI Registry JSON

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1194085886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 12 SUITE 45",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-9010",
            "fax_number": "631-675-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BUILDING 12 SUITE 45",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-675-9010",
            "fax_number": "631-675-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT BERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF PARTNER",
        "authorized_official_telephone_number": "631-675-9010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "224865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Womens Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.