Mark D Berti, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

181074 Issued in NY

Practice address

721 Homestead Ave
Maybrook, NY 12543-1307

Phone

(845) 427-0884

Fax

(845) 427-9072

NPI assigned

Jun 8, 2006

Last updated

Sep 27, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1285674978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 COATES DR",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246758",
            "telephone_number": "845-651-1400",
            "fax_number": "845-651-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 HOMESTEAD AVE",
            "city": "MAYBROOK",
            "state": "NY",
            "postal_code": "125431307",
            "telephone_number": "845-427-0884",
            "fax_number": "845-427-9072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTI",
        "first_name": "MARK",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "181074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Baisley, MA
• Elizabeth Ban
• Mary Camilleri
• Stephanie Feely, FNP
• Amy Frisch, LCSWR
• Ariadna Funes-Montaldo, MHC
• Renee Gerstner, FNP-BC

• Family Medicine Physician in Maybrook, NY
• Providers in Maybrook, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.