Madeleine Elise Berg, CDN

Primary specialty

NutritionistTaxonomy code 133N00000X

License

003019 Issued in NY

Practice address

26 Winthrop Dr
Woodbury, NY 11797-1315

Phone

(516) 312-7565

NPI assigned

Aug 7, 2009

Sex

Female

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

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259625600000",
    "number": "1629209697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971315",
            "telephone_number": "516-312-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971315",
            "telephone_number": "516-312-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "MADELEINE",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "credential": "CDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "NY",
            "license": "003019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Alan Bauman, OPTICIAN
• Bayside Medical PC
• Lauren Beek
• Kelly Michele Behan, M.S., CCC-SLP, TSSLD
• Max Ryan Benezra, EDM, MA, LMHC
• Malcolm Berger, PTA
• David M. Berk, D.D.S.
• Ravindra Kumar Bhachawat, M.D.
• Arpita Bhalodkar, M.D.
• Mallorie Brooke Bialick, MD

• Nutritionist in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Nutritionist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.