NPIMap

Individual provider Active NPI

Stefanie Ruth Berg, RPA

  • Physician Assistant
  • Endwell, NY
National Provider Identifier
1598875866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
008292 Issued in NY
Practice address
415 Hooper Rd
Endwell Family Physicians LLP
Endwell, NY 13760-3698
Phone
(607) 754-3683
Fax
(607) 754-5697
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Physician Assistant 363A00000X 008292 NY Primary

Addresses

Primary practice location

415 Hooper Rd
Endwell Family Physicians LLP
Endwell, NY 13760-3698

Mailing address

415 Hooper Rd
Endwell, NY 13760-3698
Phone (607) 754-3683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000923 NY Practitioner - Physician Assistant 6103809181 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endwell Family Physicians LLPGroup PAC ID 9537063987, 26 clinicians

Practice addresses (Care Compare)

415 Hooper Rd
Endwell, NY 13760-3646
Phone (607) 754-3863

415 Hooper Rd
Endwell, NY 13760-3698

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
86.74
Promoting interoperability
99
Improvement activities
40
Cost
70.09

Merit-based Incentive Payment System (MIPS)

Final score
83.22 of 100Reported as group
Quality
78.62
Promoting interoperability
96
Improvement activities
40
Cost
68.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Valley Hospital, Inc CurrentSince Jul 1, 2017 Accepting new patients
United Medical Associates, P.C. CurrentSince Mar 24, 2020 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Jan 2, 2020 Accepting new patients
Delaware Valley Hospital, Inc Past Accepting new patients

Locations

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

2 Titus Pl
Walton, NY 13856
Phone (607) 865-2197

Interoperability endpoints

  • Direct secure messaging: felicia.gavazzi@securechartupload.com
  • Direct secure messaging: sberg@efp.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598875866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603698",
            "telephone_number": "607-754-3683",
            "fax_number": "607-754-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 HOOPER RD",
            "address_2": "ENDWELL FAMILY PHYSICIANS LLP",
            "city": "ENDWELL",
            "state": "NY",
            "postal_code": "137603698",
            "telephone_number": "607-754-3683",
            "fax_number": "607-754-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "STEFANIE",
        "middle_name": "RUTH",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "008292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Endwell, NY

Sources for this page

Verify at the official NPI Registry.