Roy Berenholtz, MD

Primary specialty

Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X

License

MT191459 Issued in PA

Practice address

17918 69TH Ave
Fresh Meadows, NY 11365-3520

Phone

(718) 838-0777

NPI assigned

May 19, 2008

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Roy Berenholtz Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centurion Brooklyn Anesthesia PLLCGroup PAC ID 0840519641, 7 clinicians

Dr Gregory Shifrin OB/GYN PCGroup PAC ID 9830128271, 5 clinicians

Hudson Ambulatory Medical PLLCGroup PAC ID 9335531193, 16 clinicians

New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
• Direct secure messaging: rberenholtz29339@direct.acpny.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centurion Brooklyn Anesthesia PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Valley Stream, NY
  • NPI 1457757072
  Medicare reassignment Care Compare group NPD
• Dr Gregory Shifrin OBGYN PC

  • Obstetrics & Gynecology Physician
  • Brooklyn, NY
  • NPI 1154407013
  Medicare reassignment Care Compare group NPD
• New York University

  • Otolaryngology Physician
  • New York, NY
  • NPI 1851456701

  Anesthesiology

  Medicare reassignment Care Compare group NPD
• Hudson Ambulatory Medical PLLC

  • Anesthesiology Physician
  • Jersey City, NJ
  • NPI 1447917596

  NY

  Medicare reassignment Care Compare group NPD
• Advantagecare Physicians PC

  dba AdvantageCare Physicians

  • General Practice Physician
  • New York, NY
  • NPI 1336578772
  Medicare reassignment NPD
• Centurion Midtown Anesthesia PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1750087854
  Medicare reassignment NPD
• Emusc, LLC

  dba EMU Surgical Center

  • Multi-Specialty Clinic/Center
  • Glendale, NY
  • NPI 1912458159

  Internal Medicine

  Medicare reassignment NPD
• Lenox Hill Pain Management and Spine PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1063865111
  Medicare reassignment NPD
• PBGS, LLC

  • Ambulatory Surgical Clinic/Center
  • Brooklyn, NY
  • NPI 1164848453
  Medicare reassignment NPD
• Sedation Vacation Perioperative Medicine PLLC

  • Specialist
  • Valley Stream, NY
  • NPI 1891235404
  Medicare reassignment NPD
• Westchester Medical Center Advanced Physician Services, PC

  • Surgery Physician
  • Valhalla, NY
  • NPI 1912131392

  Anesthesiology

  Medicare reassignment NPD
• Yorkville Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • New York, NY
  • NPI 1174873780
  Medicare reassignment NPD

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1215194261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17918 69TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653520",
            "telephone_number": "718-838-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17918 69TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653520",
            "telephone_number": "718-838-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENHOLTZ",
        "first_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "240666",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "240666",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "PA",
            "license": "MT191459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rberenholtz77317@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "17918 69th Ave",
            "city": "Fresh Meadows",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113653520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROY",
            "last_name": "BERENHOLTZ",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• BB Medical Equipment Inc
• Rokeya Begum
• Behavior Analysis by Alex P.C
• Susan Beker, DO
• Samia Bent Moncef Ben Slimane, RBT
• Armi Bergancia
• Mitchell Berk, L.C.S.W., M.A.
• Royce Daymonn Berrio, C.O.
• Ramona Berry-Ingram, MS ED.
• Best Occupational Therapy Approach, PC

• Pediatric Anesthesiology Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pediatric Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; 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.