Individual provider Active NPI

Anthony Bertelle Jr., MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1598874281
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NYS174758 Issued in NY
Practice address
7515 13TH Ave
Brooklyn, NY 11228
Phone
(718) 234-8111
Fax
(718) 234-5379
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NYS174758 NY Primary

Addresses

Primary practice location

7515 13TH Ave
Brooklyn, NY 11228

Mailing address

115 Swinnerton Street
Staten Island, NY 10307
Phone (718) 234-5509

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050112000330 NY Practitioner - Internal Medicine 8527016971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 Swinnerton St
Staten Island, NY 10307-1633

115 Swinnerton St
Staren Island, NY 10357

7515 13TH Ave
Brooklyn, NY 11228-2409
Phone (718) 234-8111

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Revival Home Health Care Home health agency, Staten Island, NY, CCN 337299
  • Visiting Nurse Association of Central Jersey Home Care and Hospice Home health agency, Toms River, NJ, CCN 317067
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NYS174758NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony Bertelle M.D. P.C. Internal Medicine CurrentSince Jan 1, 1992 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Internal Medicine Past Accepting new patients

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: anthonybertelle@mai.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598874281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SWINNERTON STREET",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10307",
            "telephone_number": "718-234-5509",
            "fax_number": "718-234-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11228",
            "telephone_number": "718-234-8111",
            "fax_number": "718-234-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTELLE",
        "first_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NYS174758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.