David Richard Berezny Jr Jr., RPA-C, MMS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

010257 Issued in NY

Practice address

185 Old Country Rd Ste 7
Riverhead, NY 11901-2121

Phone

(631) 830-4065

Fax

(631) 830-4256

NPI assigned

Dec 14, 2006

Last updated

Mar 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Emk Quality Care Inc

  • Primary Care Clinic/Center
  • Riverhead, NY
  • NPI 1083318000
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1609938851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WESTVIEW DR",
            "city": "MATTITUCK",
            "state": "NY",
            "postal_code": "119522946",
            "telephone_number": "631-830-4065",
            "fax_number": "631-830-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 OLD COUNTRY RD STE 7",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012121",
            "telephone_number": "631-830-4065",
            "fax_number": "631-830-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREZNY JR",
        "first_name": "DAVID",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RPA-C, MMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "010257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bellamy Laboratories Inc
• Jonathan Frederick Bello, PA-C
• Miriam Bello
• Roseann Marie Bello, AUD
• Wayne John Bellucci, M.D.
• Robyn Beth Berger-Gaston, LCSW
• Carol Veronica Bergeron, ANP
• Jill C Bergson, MD
• Spencer Berman
• Dennis Tambe Besong, M.D.

• Physician Assistant in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.