Jessica Berrios, MD
Individual provider Active NPI Emergency Medicine Physician · Freeport, NY
NPI 1487812988 · NPPES record last updated May 30, 2008
Key facts
- NPI
- 1487812988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 248513 (NY)
- Practice address
- 21 Halsey St
Freeport, NY 11520-4539 - Phone
- (516) 378-1618
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.46 of 100
- Quality
- 57.32
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 80.25
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091216000074 | NY | Practitioner - Emergency Medicine | 7416097811 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248513 | NY | MD | Emergency Medicine Physician |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassau Health Care Corporation | Current | Accepting new patients | |
| Nassau Health Care Corporation | Current |
Accepting new patients | |
| Nassau Health Care Corporation | Current |
Accepting new patients |
Locations
2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 248513 | NY | Yes |
Addresses
Primary practice location
21 Halsey St
Freeport, NY 11520-4539
Mailing address
1 Gustave Levy St
New York, NY 10029
Phone (212) 241-6639
Other providers in Freeport, NY
- Danielle Ben-Horin
- Lauren Marie Bennett
- Stephanie Cherai Bernard
- Bernhard RX Inc
- Bernhards Pharmacy Inc.
- Frances Jennifer Best-Ferrer
- Jeniece Best
- Corey Ian Bickoff
- Bilingual Evaluator a.Bakalarz
- Molly Bishop
All providers in Freeport, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.