Active NPI
Richard S Berry, MD
- Specialist
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 124011
- Practice address
- 2820 Ocean Pkwy
Brooklyn, NY 11235-7958 - Phone
- (718) 996-3000
- NPI assigned
- Aug 3, 2005
- Reactivated
- Mar 27, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 124011 | NY | Primary |
Addresses
Primary practice location
2820 Ocean Pkwy
Brooklyn, NY 11235-7958
Mailing address
2820 Ocean Pkwy
Brooklyn, NY 11235-7958
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4095409 | Other | NY | AETNA |
| MCA058903 | Other | NY | AMERICHOICE |
| 161917 | Other | NY | ELDERPLAN |
| 00233096 | Medicaid | NY | |
| 0033804 | Other | NY | GHI |
| 90436 | Other | NY | AETNA |
| DS086 | Other | NY | OXFORD |
| 124011 | Other | NY | HIP |
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
- Dermatology
- Education
- State University of New York Downstate Medical Center, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2555 Nostrand Ave
Brooklyn, NY 11210-4730
Phone 71895188002102
8441 149TH Ave
Howard Beach, NY 11414-1218
Phone (718) 845-1919
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 306 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 257 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124011 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard S. Berry MDPC | Specialist | Current | Accepting new patients |
| Ahava Medical and Rehabilitation Center, LLC | Current | Accepting new patients | |
| City Central Dermatology PLLC | Specialist | Past | Accepting new patients |
| Ahava Medical and Rehabilitation Center LLC | Past | Accepting new patients | |
| Richard S. Berry MDPC | Specialist | Past | Accepting new patients |
Locations
1620 Voorhies Ave
#A
Brooklyn, NY 11235
Phone (718) 996-3000
2555 Nostrand Ave
#1
Brooklyn, NY 11210
16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500
2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108
8441 149th Ave
Jamaica, NY 11414
Phone (718) 845-1919
25 Carrier St
Liberty, NY 12754
Phone (718) 755-0332
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1215339577
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- NPI 1780977579
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- NPI 1841314994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1497756183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357958",
"telephone_number": "718-996-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "RICHARD",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2026-07-13",
"deactivation_date": "2006-03-21",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "124011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4095409",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "MCA058903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "161917",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00233096",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0033804",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "90436",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS086",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "124011",
"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 Jul 13, 2026; 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.