Su Gulsun G Berrak, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

268377 Issued in NY

Practice address

3415 Bainbridge Ave FL 5
Bronx, NY 10467-2403

Phone

(718) 741-2450

Fax

(718) 944-5908

NPI assigned

Feb 11, 2011

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: su.berrak.p1@direct.ezramedical.nextgenshare.com

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.

• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1427098227
  NPD (past)
• L'Refuah Medical & Rehabilitation Center, Inc.

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1578800025
  NPD (past)
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1952678245
  NPD (past)

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1629375563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-741-2450",
            "fax_number": "718-944-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 BAINBRIDGE AVE FL 5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672403",
            "telephone_number": "718-741-2450",
            "fax_number": "718-944-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRAK",
        "first_name": "SU GULSUN",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "268377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ian Bernstein, PHARMD
• Peter S Bernstein, MD
• Robert Davis Bernstein, MD PHD
• Robert G Bernstein, MD
• Sara Jessica Bernstein, MS CCC-SLP
• Kira Ann Berrie Campbell, MSW
• Ana Yaritza Berrios-Torres, M.S.
• Crystal Berrios, CASAC
• Diana Berrios
• Giselle E Berrios

• Pediatrics Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.