Individual provider Active NPI

Arnold Irwin Berlin, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1609872472
Registry record updated Aug 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
124009 Issued in NY
Practice address
348 13TH St Ste 201
Brooklyn, NY 11215-6179
Phone
(718) 636-0335
Fax
(718) 783-6582
NPI assigned
Jun 24, 2005
Last updated
Aug 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2012

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 124009 NY Primary

Addresses

Primary practice location

348 13TH St Ste 201
Brooklyn, NY 11215-6179

Mailing address

348 13TH St Ste 201
Brooklyn, NY 11215-6179
Phone (718) 636-0335

Other identifiers 1

IdentifierTypeStateIssuer
01170929MedicaidNY

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
I20160714001885 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2163400730

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
124009NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Care Alliance, LLP Internal Medicine PastSince Jul 15, 2009 Accepting new patients
Oda Primary Health Care Network, Inc. Past Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: arnold.berlin@oda.eclinicaldirectplus.com

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

NPI Registry JSON

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

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345939200000",
    "number": "1609872472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 13TH ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156179",
            "telephone_number": "718-636-0335",
            "fax_number": "718-783-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 13TH ST STE 201",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112156179",
            "telephone_number": "718-636-0335",
            "fax_number": "718-783-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "ARNOLD",
        "middle_name": "IRWIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2012-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "124009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01170929",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.