Individual provider Active NPI

Glen W Berger, MD

  • Internal Medicine Physician
  • Ho Ho Kus, NJ
National Provider Identifier
1285697201
Registry record updated May 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA06271300 Issued in NJ
Practice address
110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1566
Phone
(201) 444-9405
Fax
(201) 444-9408
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA06271300 NJ Primary

Addresses

Primary practice location

110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1566

Mailing address

110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1566
Phone (201) 444-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050617000101 NJ Practitioner - Internal Medicine 5799729091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1989
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

110 Warren Ave
Suite 5
Ho Ho Kus, NJ 07423-1561

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions19
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glen W. Berger, M.D., P.a. Internal Medicine CurrentSince Nov 1, 1995 Accepting new patients

Locations

110 Warren Ave
Ste 5
Ho Ho Kus, NJ 07423
Phone (201) 444-9405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336262400000",
    "number": "1285697201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 WARREN AVE",
            "address_2": "SUITE 5",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231566",
            "telephone_number": "201-444-9405",
            "fax_number": "201-444-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 WARREN AVE",
            "address_2": "SUITE 5",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231566",
            "telephone_number": "201-444-9405",
            "fax_number": "201-444-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "GLEN",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2012-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06271300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

Verify at the official NPI Registry.