NPIMap

Individual provider Active NPI

Abigail Tripp Berman, MD

  • Radiation Oncology Physician
  • Philadelphia, PA
National Provider Identifier
1235364423
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD451682 Issued in PA
Practice address
3400 Civic Center Blvd
TRC 2 West,
Philadelphia, PA 19104
Phone
(215) 662-2428
NPI assigned
May 18, 2009
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 25MA11296200 NJ
Radiation Oncology Physician 2085R0001X MD451682 PA Primary

Addresses

Primary practice location

3400 Civic Center Blvd
TRC 2 West,
Philadelphia, PA 19104

Mailing address

,3400 Civic Center Blvd
TRC 2 West
Philadelphia, PA 19104
Phone (215) 662-2428

Other practice location 1

200 Bowman Dr Ste 190
Voorhees, NJ 08043-9623
Phone (856) 247-7370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140701000693 PA Practitioner - Radiation Oncology 2163647421 Reassigns benefits to 2 organizations
I20221224000101 NJ Practitioner - Radiation Oncology 2163647421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Temple Faculty Practice Plan IncGroup PAC ID 0345588711, 1,325 clinicians

Practice addresses (Care Compare)

3401 N Broad St
Philadelphia, PA 19140-5103
Phone (215) 707-3008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Sep 14, 2022 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 1, 2023 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Temple Faculty Practice Plan Inc Radiation Oncology CurrentSince Mar 1, 2023 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Sep 14, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Radiation Oncology Current Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

239 Hurffville Crosskeys Rd
Ste 190
Sewell, NJ 08080
Phone (856) 341-8400

200 Bowman Dr
Ste 190
Voorhees, NJ 08043
Phone (856) 247-7370

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

3400 Civic Center Blvd
#2W
Philadelphia, PA 19104
Phone (215) 614-1618

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3400 Spruce St
Fl 2
Philadelphia, PA 19104
Phone (215) 662-2428

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

250 King of Prussia Rd
Ste 2F
Radnor, PA 19087
Phone (610) 902-2000

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1235364423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": ",3400 CIVIC CENTER BLVD",
            "address_2": "TRC 2 WEST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "address_2": "TRC 2 WEST,",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bowman Dr Ste 190",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439623",
            "country_code": "US",
            "telephone_number": "856-247-7370",
            "fax_number": "856-247-7331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "ABIGAIL",
        "middle_name": "TRIPP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NJ",
            "license": "25MA11296200",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD451682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.