Active NPI
Aaron Jay Berger, RPH
- Community/Retail Pharmacy
- Brooklyn, NY
National Provider Identifier
1336323583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- I-051771
- Practice address
- 355 Knickerbocker Ave
Brooklyn, NY 11237-3740 - Phone
- (718) 821-2678
- NPI assigned
- Dec 24, 2007
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | I-051771 | NY | Primary |
Addresses
Primary practice location
355 Knickerbocker Ave
Brooklyn, NY 11237-3740
Mailing address
355 Knickerbocker Ave
Brooklyn, NY 11237-3740
Phone (718) 821-2678
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051771 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I-051771 | NY | MD | Community/Retail Pharmacy |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duane Reade | Community/Retail Pharmacy | Past | Accepting new patients |
| Duane Reade | Community/Retail Pharmacy | Past | Accepting new patients |
Organizations & group practices 2
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": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1336323583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373740",
"telephone_number": "718-821-2678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 KNICKERBOCKER AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112373740",
"telephone_number": "718-821-2678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "AARON",
"middle_name": "JAY",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2023-02-15",
"certification_date": "2023-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NY",
"license": "I-051771",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051771",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.