Russell L. Berdoff, M.D., P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

FT1307102 Issued in NY

Legal business name

RUSSELL L. BERDOFF, M.D., P.C.

Practice address

67 Irving Place
7TH Floor
New York, NY 10003-2254

Phone

(212) 979-9224

Fax

(212) 674-7138

NPI assigned

Aug 23, 2012

Organization subpart

No

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

Authorized official

Name

Russell L. Berdoff, M.D.NPI 1306847793

Title

Physician

Phone

(212) 979-9224

Specialties & licenses 1

Addresses

Other names 1

• Joseph B. Tawil, M.D. Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Lindsay Berdoff, MD

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1306847793
  NPD Authorized official

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

{
    "created_epoch": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1528316569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 IRVING PLACE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032254",
            "telephone_number": "212-979-9224",
            "fax_number": "212-674-7138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 IRVING PLACE",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032254",
            "telephone_number": "212-979-9224",
            "fax_number": "212-674-7138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL L. BERDOFF, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "BERDOFF",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-979-9224",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "FT1307102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joseph B. Tawil, M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Russell Anthony Martin Psychotherapy LCSW PC
• Russell E. Windsor, M.D., P.C.
• Russell F Trahan D D P M P C
• Russell F. Warren M.D.P.C
• Russell H. Silver, M.D., P.C.
• Russell L. Berdoff, M.D., P.C.
• Russell Stram PT Lac
• Bernadith Russell, MD
• Carlie Russell
• Cathryn Louise Russell, M.D.

• Cardiovascular Disease Physician in New York, NY
• Providers in New York, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.