Individual provider Active NPI

Virginia Bersani, D.O.

  • Pediatrics Physician
  • Homer, NY
National Provider Identifier
1427797190
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
342362 Issued in NY
Practice address
3 Technology PL
Homer, NY 13077-1526
Phone
(607) 753-3774
Fax
(607) 753-3947
NPI assigned
Jun 1, 2022
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 342362 NY Primary
Pediatrics Physician 208000000X OS024812 PA

Addresses

Primary practice location

3 Technology PL
Homer, NY 13077-1526

Mailing address

85 S West St
Homer, NY 13077-1542
Phone (607) 753-3797

Other identifiers 1

IdentifierTypeStateIssuer
08384829MedicaidNY

Other names 1

  • Virginia Stoddard-Merriam Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260612000390 NY Practitioner - Pediatric Medicine 2769954551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3115 Mosser Dr
Allentown, PA 18103-3648

85 S W St
Homer, NY 13077-1542

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS024812PAMDPediatrics Physician

Interoperability endpoints

  • Direct secure messaging: vbersani373259@direct-sluhn.org

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": "1654041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1427797190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S WEST ST",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771542",
            "telephone_number": "607-753-3797",
            "fax_number": "607-218-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TECHNOLOGY PL",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "130771526",
            "telephone_number": "607-753-3774",
            "fax_number": "607-753-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERSANI",
        "first_name": "VIRGINIA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-01",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "342362",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS024812",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08384829",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3 Technology Pl",
            "city": "Homer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130771526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIRGINIA",
            "last_name": "STODDARD-MERRIAM",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homer, NY

Sources for this page

Verify at the official NPI Registry.