Active NPI
Jordan R Chanler-Berat, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 277263
- Practice address
- 418-420 5TH Avenue
Brooklyn, NY 11215 - Phone
- (516) 783-4600
- Fax
- (646) 846-3283
- NPI assigned
- Jun 23, 2011
- Last updated
- Sep 4, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 277185 | NY | |
| Emergency Medicine Physician | 207P00000X | 2014-01244 | NC | |
| Emergency Medicine Physician | 207P00000X | 277263 | MA | Primary |
Addresses
Primary practice location
418-420 5TH Avenue
Brooklyn, NY 11215
Mailing address
1345 RXR PLZ
Uniondale, NY 11556-1301
Phone (516) 783-4600
Other practice location 1
759 Chestnut Street
Springfield, MA 01107-1619
Phone (413) 794-3233
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NC2168 | Medicaid | SC | |
| 1346536794 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Emergency Medicine
- Education
- New York Medical College, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Beech St
Holyoke, MA 01040-2223
Phone (413) 534-2697
725 N St
Pittsfield, MA 01201-4109
Phone (413) 447-2000
759 Chestnut St
Springfield, MA 01107-1619
Phone (413) 794-8121
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277263 | MA | MD | Emergency Medicine Physician |
| 2014-01244 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakes/National Emergency Physicians Inc | Emergency Medicine | Current | Accepting new patients |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Berkshire Medical Center, Inc | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Baystate Medical Practices, Inc | Current | Accepting new patients | |
| City Medical of Upper East Side, PLLC | Current | Accepting new patients | |
| Western Mass Physician Associates Inc | Current | Accepting new patients | |
| Berkshire Medical Center Inc. | Current | Accepting new patients | |
| Baystate Wing Hospital Corporation | Current | Accepting new patients | |
| Baystate Wing Hospital Corporation | Current | Accepting new patients |
Locations
10 Hospital Dr
Ste 306
Holyoke, MA 01040
Phone (413) 539-6830
15 Hospital Dr
Ste 50
Holyoke, MA 01040
Phone (413) 534-2826
575 Beech St
Holyoke, MA 01040
Phone (413) 534-2570
40 Wright St
Palmer, MA 01069
Phone (413) 284-5210
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
759 Chestnut St
Springfield, MA 01107
Phone (413) 794-6297
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435
Interoperability endpoints
- jordan.chanler-berat.1@13063.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- General Acute Care Hospital
- Pittsfield, MA
- NPI 1295765261
-
dba Holyoke Medical Group
- Emergency Medical Services (Emergency Medicine) Physician
- Chicopee, MA
- NPI 1922009547
-
dba Baystate Wing Hospital & Medical Centers
- General Acute Care Hospital
- Palmer, MA
- NPI 1962410233
-
- Emergency Medicine Physician
- Holyoke, MA
- NPI 1114426772
-
dba CityMD Urgent Care
- Urgent Care Clinic/Center
- Brooklyn, NY
- NPI 1609148733
-
- Psychiatric Hospital Unit
- Palmer, MA
- NPI 1992880736
-
dba Berkshire Community Pharmacy of North Adams
- Community/Retail Pharmacy
- North Adams, MA
- NPI 1932649753
-
dba Holyoke Medical Group Walk-In Care
- Internal Medicine Physician
- Chicopee, MA
- NPI 1205315793
-
dba Holyoke Medical Group Walk-In Care
- Internal Medicine Physician
- Westfield, MA
- NPI 1366087363
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
-
- General Acute Care Hospital
- Holyoke, MA
- NPI 1750395737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567555200000",
"number": "1346536794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 RXR PLZ",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115561301",
"telephone_number": "516-783-4600",
"fax_number": "646-846-3283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "418-420 5TH AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11215",
"telephone_number": "516-783-4600",
"fax_number": "646-846-3283"
}
],
"practiceLocations": [
{
"address_1": "759 Chestnut Street",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011071619",
"country_code": "US",
"telephone_number": "413-794-3233",
"fax_number": "413-794-9060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANLER-BERAT",
"first_name": "JORDAN",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-23",
"last_updated": "2019-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "277185",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2014-01244",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "277263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2168",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346536794",
"state": "NC"
}
],
"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 Sep 4, 2019; 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.