Individual provider Active NPI

Larry P Berstein, MD

  • Ophthalmology Physician
  • Plainview, NY
National Provider Identifier
1225091663
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
139098 Issued in NY
Practice address
100 Manetto Hill Rd
Ste 202
Plainview, NY 11803-1311
Phone
(516) 935-9200
Fax
(516) 935-9220
NPI assigned
Apr 7, 2006
Last updated
Feb 2, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 139098 NY Primary

Addresses

Primary practice location

100 Manetto Hill Rd
Ste 202
Plainview, NY 11803-1311

Mailing address

100 Manetto Hill Rd
Ste 202
Plainview, NY 11803-1311
Phone (516) 935-9200

Other identifiers 1

IdentifierTypeStateIssuer
00703695MedicaidNY

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
I20040921000775 NY Practitioner - Ophthalmology 2264400803 Reassigns benefits to 1 organization
Practice locations: Plainview, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
139098NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Medical Doctors PLLC Ophthalmology CurrentSince Dec 1, 2019 Accepting new patients
Sight Medical Doctors PLLC CurrentSince Dec 1, 2019 Accepting new patients
Long Island Ophthalmic Care, P.L.L.C. Ophthalmology PastSince Aug 15, 2008 Accepting new patients
Peter J.G. Maris, M.D. Ophthalmology Past Accepting new patients

Locations

125 Kennedy Dr
Ste 400
Hauppauge, NY 11788

100 Manetto Hill Rd
Ste 202
Plainview, NY 11803
Phone (516) 935-9200

260 E Middle Country Rd
Ste 201
Smithtown, NY 11787
Phone 6312658780150

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296604800000",
    "number": "1225091663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "address_2": "STE 202",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-935-9200",
            "fax_number": "516-935-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANETTO HILL RD",
            "address_2": "STE 202",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031311",
            "telephone_number": "516-935-9200",
            "fax_number": "516-935-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSTEIN",
        "first_name": "LARRY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2011-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "139098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00703695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.