Active NPI
Alan Berlly, MD
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 132733
- Practice address
- 2095 Flatbush Ave
Suite A3
Brooklyn, NY 11234 - Phone
- (718) 338-6868
- Fax
- (718) 252-3650
- NPI assigned
- Jul 28, 2005
- Last updated
- Jun 29, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 132733 | NY | Primary |
Addresses
Primary practice location
2095 Flatbush Ave
Suite A3
Brooklyn, NY 11234
Mailing address
89 Ryder Rd
Manhasset, NY 11030-2545
Phone (718) 338-6868
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00730814 | Medicaid | NY | |
| 300025378 | Other | NY | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Chicago, Pritzker School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Sunrise Hwy
Suite E
Lindenhurst, NY 11757-2598
Phone (631) 225-7200
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 132733 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zwanger & Pesiri Radiology Group, LLP | Diagnostic Radiology | Current | Accepting new patients |
| Hia Bensonhurst Imaging Associates, LLP | Past | Accepting new patients | |
| North American Partners in Anesthesia LLP | Past | Accepting new patients | |
| Alan Berlly, MDPC | Past | Accepting new patients |
Locations (25 of 26)
160 Brentwood Rd
Bay Shore, NY 11706
Phone (631) 665-7240
1018 Suffolk Ave
Brentwood, NY 11717
763 Larkfield Rd
Commack, NY 11725
Phone (631) 462-0118
347 Middle Country Rd
Coram, NY 11727
Phone (631) 992-6403
2087 Deer Park Ave
Deer Park, NY 11729
Phone (631) 992-6401
285 Sills Rd
East Patchogue, NY 11772
Phone (631) 447-8300
220 N Belle Mead Rd
East Setauket, NY 11733
Phone (516) 681-8400
99 Smithtown Byp
Hauppauge, NY 11788
Phone (631) 930-3480
326 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 351-1925
23135 Merrick Blvd
Laurelton, NY 11413
Phone (718) 481-8693
625 Rockaway Tpke
Lawrence, NY 11559
Phone (516) 288-3076
150 Sunrise Hwy
Lindenhurst, NY 11757
Phone (631) 957-3355
150 Sunrise Hwy
Ste 201
Lindenhurst, NY 11757
150 Sunrise Hwy
Ste E
Lindenhurst, NY 11757
126 Hicksville Rd
Massapequa, NY 11758
Phone (516) 798-3614
1729 N Ocean Ave
Medford, NY 11763
Phone (631) 289-4800
324 W 125th St
New York, NY 10027
680 Old Country Rd
Plainview, NY 11803
Phone (516) 681-8400
4 Medical Dr
Port Jefferson Station, NY 11776
Phone (631) 428-1600
5650 Sunrise Hwy
Sayville, NY 11782
803 Montauk Hwy
Unit F
Shirley, NY 11967
80 Maple Ave
Smithtown, NY 11787
Phone (516) 265-5777
987 W Jericho Tpke
Smithtown, NY 11787
Phone (516) 864-9100
2500 Route 347
Stony Brook, NY 11790
Phone (631) 689-7700
6144 Route 25A
Ste 1
Wading River, NY 11792
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Lindenhurst, NY
- NPI 1477523413
-
dba Meadow Diagnostic Imaging
- Radiology Clinic/Center
- East Meadow, NY
- NPI 1760469811
-
dba HIA Bensonhurst Imaging Associates
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1407833452
-
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1245217298
-
- Radiology Clinic/Center
- Brooklyn, NY
- NPI 1619124963
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1437159845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "89 RYDER RD",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110302545",
"telephone_number": "718-338-6868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 FLATBUSH AVE",
"address_2": "SUITE A3",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11234",
"telephone_number": "718-338-6868",
"fax_number": "718-252-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLLY",
"first_name": "ALAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "132733",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00730814",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300025378",
"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 Jun 29, 2015; 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.