Larry Robert Berman, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI01334700 Issued in NJ

Practice address

308 Raritan Ave
Highland Park, NJ 08904-2743

Phone

(732) 545-0294

Fax

(732) 846-4486

NPI assigned

Jan 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326191347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 CELLER RD",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172949",
            "telephone_number": "732-985-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 RARITAN AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042743",
            "telephone_number": "732-545-0294",
            "fax_number": "732-846-4486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "LARRY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI01334700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elinor Bashe, PSY.D.
• Shenbagavalli Baskaran
• Addie Baughman, ADDIE BAUGHMAN,LCSW
• Behavioral Health Solutions
• Robert G Berkowitz, DC
• Kashmira K Bhardwaj, PT
• Robert Biener, M.D.
• Hayley Violet Biesiadecki
• Carole B. Bishop, C.A.
• Robyn L Black, SLP

• General Practice Dentistry in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.