Mansoor Berookhim, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

117326 Issued in NY

Practice address

7 West 96 St
Apt 1H
New York, NY 10025

Phone

(212) 666-6900

Fax

(212) 666-6910

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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 Medicine

State licenses

Practice roles

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.

• Malina Medical Services PC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1932899192
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1205901394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 WEST 96 ST",
            "address_2": "APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-666-6900",
            "fax_number": "212-666-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 WEST 96 ST",
            "address_2": "APT 1H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-666-6900",
            "fax_number": "212-666-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEROOKHIM",
        "first_name": "MANSOOR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "117326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "NP003",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00217267",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stuart Mark Bernstein, D.P.M.
• Yelena Bernstein, P.A.
• Timothy Bernstrom, M.A., CCC-SLP
• Elisabeth Mae Beron, PSY. D.
• Boback M Berookhim, M.D.
• Arona Michal Berow, LMSW
• Mary Tracy Berran, NNP
• Jillian Elyse Berridge, LMSW
• Nataly Berrio Pulgarin
• Gabriella Sophia Berrio, DDS

• Pediatrics Physician in New York, NY
• Providers in New York, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.