Individual provider Active NPI

Scott Phillip Reed Berk, MD

  • Family Medicine Physician
  • Hampton, NJ
National Provider Identifier
1356317523
Registry record updated Dec 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA06947200 Issued in NJ
Practice address
33B Rupell Rd
Hampton, NJ 08827-4017
Phone
(908) 238-0077
Fax
(908) 238-0057
NPI assigned
Feb 27, 2006
Last updated
Dec 16, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA06947200 NJ Primary

Addresses

Primary practice location

33B Rupell Rd
Hampton, NJ 08827-4017

Mailing address

33B Rupell Rd
Hampton, NJ 08827-4017
Phone (908) 238-0077

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
I20051011000539 NJ Practitioner - Family Practice 0446275234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers New Jersey Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 B Rupell Rd
Hampton, NJ 08827-4017
Phone (908) 238-0077

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA06947200NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hunterdon Integrative Physicians Family Medicine CurrentSince Nov 1, 2010 Accepting new patients
Angelo del Priore DPM Past Accepting new patients

Locations

33B Rupell Rd
Hampton, NJ 08827
Phone (908) 238-0077

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387152000000",
    "number": "1356317523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33B RUPELL RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274017",
            "telephone_number": "908-238-0077",
            "fax_number": "908-238-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33B RUPELL RD",
            "city": "HAMPTON",
            "state": "NJ",
            "postal_code": "088274017",
            "telephone_number": "908-238-0077",
            "fax_number": "908-238-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERK",
        "first_name": "SCOTT",
        "middle_name": "PHILLIP REED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA06947200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, NJ

Sources for this page

Verify at the official NPI Registry.