Organization Active NPI

Berger Medical Aesthetics PC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1437474673
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
139848-1 Issued in NY
Legal business name
BERGER MEDICAL AESTHETICS PC
Practice address
333 E. 49TH Street
Suite LD
New York, NY 10017
Phone
(212) 838-6900
Fax
(212) 838-6714
NPI assigned
Mar 31, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Eric S. Berger, M.D.
Title
Owner/President
Phone
(212) 838-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 139848-1 NY Primary

Addresses

Primary practice location

333 E. 49TH Street
Suite LD
New York, NY 10017

Mailing address

333 E. 49TH Street
Suite LD
New York, NY 10017
Phone (212) 838-6900

Other identifiers 1

IdentifierTypeStateIssuer
139848-1OtherNYLICENSE #

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1437474673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E. 49TH STREET",
            "address_2": "SUITE LD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-838-6900",
            "fax_number": "212-838-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E. 49TH STREET",
            "address_2": "SUITE LD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-838-6900",
            "fax_number": "212-838-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGER MEDICAL AESTHETICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "212-838-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "NY",
            "license": "139848-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "139848-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.