Organization Active NPI

Robert S Berger Mdpa

  • Dermatology Physician
  • White Plains, MD
National Provider Identifier
1235340175
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
ROBERT S BERGER MDPA
Practice address
4225 Altamont Place
Unit 3
White Plains, MD 20695-3063
Phone
(301) 374-9591
Fax
(301) 645-4734
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert S Berger, MD
Title
Owner
Phone
(301) 374-9591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary

Addresses

Primary practice location

4225 Altamont Place
Unit 3
White Plains, MD 20695-3063

Mailing address

4225 Altamont Place
Unit 3
White Plains, MD 20695-3063
Phone (301) 374-9591

National Provider Directory

National Provider Directory

Locations

11355 Pembrooke Sq
Ste 108A
Waldorf, MD 20603
Phone (240) 252-2140

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235340175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PLACE",
            "address_2": "UNIT 3",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953063",
            "telephone_number": "301-374-9591",
            "fax_number": "301-645-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 ALTAMONT PLACE",
            "address_2": "UNIT 3",
            "city": "WHITE PLAINS",
            "state": "MD",
            "postal_code": "206953063",
            "telephone_number": "301-374-9591",
            "fax_number": "301-645-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S BERGER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-374-9591",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.