Lauren Patricia Berman
Individual provider Active NPI Physician Assistant · Shirley, NY
NPI 1497222129 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1497222129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 800 Montauk Hwy Ste 18
Shirley, NY 11967-2128 - Phone
- (631) 772-4646
- Fax
- (631) 772-2495
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Brookhaven Heart PLLC
Practice addresses (Care Compare)
325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191022000236 | NY | Practitioner - Physician Assistant | 6901138155 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022975 | NY | MD | Speech-Language Pathologist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- lauren.berman@bh.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
800 Montauk Hwy Ste 18
Shirley, NY 11967-2128
Mailing address
P.O. Box 1725
18 Post Fields Lane
Quogue, NY 11959
Phone (631) 902-4912
Other practice location 1
18 Post Fields Lane
Quogue, NY 11959
Phone (631) 902-4912
Other providers in Shirley, NY
- Christine H Battaglia
- Rikki Leslie Beaver
- Kristin Beeker
- Samantha Behrens
- Kelly Bennett
- Leanna Marie Bianco
- Vanessa Leigh Bieler
- Aura Blum
- Bodhi Wellness
- Robert Vincent Bonanno
All providers in Shirley, NY · Physician Assistant 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 Oct 15, 2019. 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.