Individual provider Active NPI

Robert Berkeley Carter Jr.

  • Student in an Organized Health Care Education/Training Program
  • Albany, NY
National Provider Identifier
1508027244
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
62587 Issued in NY
Practice address
47 New Scotland Ave Mail Code 139
Albany Medical Center Dept of Emergency Medicine
Albany, NY 12208-3412
Phone
(518) 262-3773
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 62587 NY Primary

Addresses

Primary practice location

47 New Scotland Ave Mail Code 139
Albany Medical Center Dept of Emergency Medicine
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave Mail Code 139
Albany Medical Ctr Dept of Emergency Medicine
Albany, NY 12208-3412
Phone (518) 262-3773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000229 MA Practitioner - Emergency Medicine 0143345496 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
62587NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Faculty Services Inc CurrentSince Feb 1, 2015 Accepting new patients
Fairview Hospital CurrentSince Feb 1, 2015 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
North Adams Regional Hospital Corporation CurrentSince Apr 25, 2024 Accepting new patients
Berkshire Medical Center, Inc CurrentSince Jul 19, 2010 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Jul 19, 2010 Accepting new patients

Locations

780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498

71 Hospital Ave
North Adams, MA 01247
Phone (413) 664-4343

505 East St
Pittsfield, MA 01201
Phone (413) 442-6221

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1508027244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE MAIL CODE 139",
            "address_2": "ALBANY MEDICAL CTR DEPT OF EMERGENCY MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE MAIL CODE 139",
            "address_2": "ALBANY MEDICAL CENTER DEPT OF EMERGENCY MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ROBERT",
        "middle_name": "BERKELEY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "62587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.