Individual provider Active NPI

Jeffrey A Berman, M.D.

  • Addiction Psychiatry Physician
  • Teaneck, NJ
National Provider Identifier
1336175256
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
MA25040372 Issued in NJ
Practice address
1296 Pennington Rd
Teaneck, NJ 07666-2802
Phone
(201) 394-7491
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X MA25040372 NJ Primary

Addresses

Primary practice location

1296 Pennington Rd
Teaneck, NJ 07666-2802

Mailing address

1296 Pennington Rd
Teaneck, NJ 07666-2802
Phone (201) 394-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240219003050 NY Practitioner - Psychiatry 0547249674 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rego Park Counseling LLCGroup PAC ID 8921429762, 6 clinicians

Practice addresses (Care Compare)

63 -36
Rego Park, NY 11374-1979

6336 99TH St
Rego Park, NY 11374-1979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA25040372NJMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Psychiatry & TMS PC Current Accepting new patients
Rego Park Counseling LLC Current Accepting new patients
Rego Park Counseling LLC Current Accepting new patients
Rego Park Counseling LLC CurrentSince Jan 9, 2024 Accepting new patients
Rego Park Counseling LLC CurrentSince Jan 9, 2024 Accepting new patients
Jeffrey Berman MD PLLC Current Accepting new patients
Avenues Recovery Center of Lake Ariel, LLC Past Accepting new patients
Rutgers Health-RWJ Scleroderma Program Past Accepting new patients
Rutgers Health - Behavioral Health Past Accepting new patients
College Recovery LLC Past Accepting new patients

Locations

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

104 Bayard St
Fl 1
New Brunswick, NJ 08901
Phone (917) 806-9662

104 Bayard St
New Brunswick, NJ 08901
Phone (732) 847-2869

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1336175256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 PENNINGTON RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662802",
            "telephone_number": "201-394-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 PENNINGTON RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662802",
            "telephone_number": "201-394-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NJ",
            "license": "MA25040372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.