Individual provider Active NPI

Derek Berberian, MD

  • Psychiatry Physician
  • Ramsey, NJ
National Provider Identifier
1346597200
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
25MA09655600 Issued in NJ
Practice address
46 N Central Ave
Ramsey, NJ 07446-1864
Phone
(201) 588-3491
Fax
(201) 357-4222
NPI assigned
Aug 10, 2012
Last updated
Mar 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA09655600 NJ Primary

Addresses

Primary practice location

46 N Central Ave
Ramsey, NJ 07446-1864

Mailing address

227 Donny Brook Dr
Allendale, NJ 07401-1422
Phone (201) 819-8545

Other practice location 1

227 Donny Brook Dr
Allendale, NJ 07401-1422
Phone (201) 819-8545

Other names 1

  • Derek Berberian Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://njhwllc.com/
CONNECT URL https://njhwllc.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20160120000759 NJ Practitioner - Neuropsychiatry 1456654722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neuropsychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Jersey Health and Wellness LLCGroup PAC ID 3375846637, 16 clinicians

Practice addresses (Care Compare)

35 S Spruce St
Ramsey, NJ 07446-2549
Phone (201) 819-8545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1346597200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 DONNY BROOK DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011422",
            "telephone_number": "201-819-8545",
            "fax_number": "805-473-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N CENTRAL AVE",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461864",
            "telephone_number": "201-588-3491",
            "fax_number": "201-357-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 Donny Brook Dr",
            "address_purpose": "LOCATION",
            "city": "Allendale",
            "state": "NJ",
            "postal_code": "074011422",
            "country_code": "US",
            "telephone_number": "201-819-8545",
            "fax_number": "805-473-5931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERBERIAN",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA09655600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://njhwllc.com/",
            "affiliation": "N",
            "address_1": "227 Donny Brook Dr",
            "city": "Allendale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074011422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://njhwllc.com/",
            "affiliation": "N",
            "address_1": "46 N Central Ave",
            "city": "Ramsey",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074461864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DEREK",
            "last_name": "BERBERIAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ramsey, NJ

Sources for this page

Verify at the official NPI Registry.