Shelley Berson MD PC

Primary specialty

Sleep Specialist (PhD)Taxonomy code 173F00000X

License

25MA05783000 Issued in NJ

Legal business name

SHELLEY BERSON MD PC

Practice address

305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813

Phone

(201) 391-8282

Fax

(201) 391-8299

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Maggie Cuello

Title

Billing Director

Phone

(201) 391-8282

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381881600000",
    "number": "1316375074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY BERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-16",
        "status": "A",
        "authorized_official_last_name": "CUELLO",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "201-391-8282"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Sleep Specialist, PhD",
            "state": "NJ",
            "license": "25MA05783000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689927105",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violette Sayegh, PHARM.D, RPH
• Corey Schlanger, DC
• Laura Nicole Schneider, LMSW
• Charlynn Renee Scott, PHARM D
• Sentry Laboratories LLC
• Shelley Berson MD, PC (Zzenter)
• Mark David Sherman, M.D.
• Hope Shuvall, MACCC/SLP
• Muhammad Ghufran Ali Siddiqui
• Catherine Slutzky, MSCCCSLP

• Sleep Specialist (PhD) in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Sleep Specialist (PhD) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; 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.