Individual provider Active NPI

Alexander Berger, CASAC

  • Addiction (Substance Use Disorder) Counselor
  • Forest Hills, NY
National Provider Identifier
1265055065
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12799 Issued in NY
Practice address
11215 72ND Rd Ste LL1
Forest Hills, NY 11375-4600
Phone
(718) 261-3437
Fax
(718) 261-4142
NPI assigned
May 27, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 12799 NY Primary

Addresses

Primary practice location

11215 72ND Rd Ste LL1
Forest Hills, NY 11375-4600

Mailing address

11215 72ND Rd Ste LL1
Forest Hills, NY 11375-4600
Phone (718) 261-3437

Other names 1

  • Mr. Alexander Berger Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12799NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1265055065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11215 72ND RD STE LL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754600",
            "telephone_number": "718-261-3437",
            "fax_number": "718-261-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11215 72ND RD STE LL1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754600",
            "telephone_number": "718-261-3437",
            "fax_number": "718-261-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "ALEXANDER",
        "name_prefix": "Mr.",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDER",
            "last_name": "BERGER",
            "prefix": "MR.",
            "credential": "CASAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.