Active NPI
Jeffrey A Berman, M.D.
- Addiction Psychiatry Physician
- Teaneck, NJ
National Provider Identifier
1336175256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- MA25040372
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA25040372 | NJ | MD | Addiction Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New 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 | Current | Accepting new patients | |
| Rego Park Counseling LLC | Current | 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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rego Park, NY
- NPI 1235760927
-
- Behavior Analyst
- Brooklyn, NY
- NPI 1881450609
-
- Psychiatry Physician
- Fairfield, NJ
- NPI 1053971572
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rego Park, NY
- NPI 1386337111
-
- Clinical Medical Laboratory
- Rego Park, NY
- NPI 1528759073
-
- Multi-Specialty Clinic/Center
- Fresh Meadows, NY
- NPI 1932061611
-
- Substance Abuse Rehabilitation Facility
- New Brunswick, NJ
- NPI 1467852798
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1144267337
-
- Psychiatry Physician
- Piscataway, NJ
- NPI 1033207378
-
- Substance Abuse Rehabilitation Facility
- Lake Ariel, PA
- NPI 1295377281
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.