Organization Active NPI

Diane S Berson MD PLLC

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1558469072
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DIANE S BERSON MD PLLC
Practice address
211 E 53Rd St
Suite 3
New York, NY 10022-4803
Phone
(212) 355-3511
Fax
(212) 355-3552
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Diane S Berson, MD
Title
Owner
Phone
(212) 355-3511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

211 E 53Rd St
Suite 3
New York, NY 10022-4803

Mailing address

211 E 53Rd St
Suite 3
New York, NY 10022-4803
Phone (212) 355-3511

National Provider Directory

National Provider Directory

Locations

211 E 53rd St
#3
New York, NY 10022
Phone (212) 355-3511

211 E 53rd St
Ste 3
New York, NY 10022
Phone (212) 355-3511

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558469072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E 53RD ST",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224803",
            "telephone_number": "212-355-3511",
            "fax_number": "212-355-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E 53RD ST",
            "address_2": "SUITE 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224803",
            "telephone_number": "212-355-3511",
            "fax_number": "212-355-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE S BERSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-355-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.