Individual provider Active NPI

Clifford M Berck, MD

  • Dermatology Physician
  • Great Neck, NY
National Provider Identifier
1649268327
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
175672 Issued in NY
Practice address
560 Northern Blvd
Great Neck, NY 11021-5100
Phone
(516) 773-6660
Fax
(516) 773-6674
NPI assigned
Oct 7, 2005
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 175672 NY Primary
Procedural Dermatology Physician 207NS0135X 175672 NY

Addresses

Primary practice location

560 Northern Blvd
Great Neck, NY 11021-5100

Mailing address

560 Northern Blvd
Great Neck, NY 11021-5100
Phone (516) 773-6660

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
I20091008000149 NY Practitioner - Dermatology 0749326528 Reassigns benefits to 1 organization
Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York Downstate Medical Center, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schweiger Dermatology PLLCGroup PAC ID 5991947160, 254 clinicians

Practice addresses (Care Compare)

825 Northern Blvd
Suite 300
Great Neck, NY 11021-5323
Phone (212) 283-3000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1305
Removal or shaving of skin growth236
Skin biopsy260

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Latham Dermatology, PLLC Dermatology CurrentSince Jul 1, 2023 Accepting new patients
Schweiger Dermatology PLLC Dermatology CurrentSince Jun 1, 2024 Accepting new patients
North Shore-Lij Medical PC Dermatology PastSince Jun 1, 2024 Accepting new patients

Locations

385 Merrick Rd
Amityville, NY 11701

560 Northern Blvd
Ste 202
Great Neck, NY 11021
Phone (516) 773-6660

825 Northern Blvd
Ste 300
Great Neck, NY 11021
Phone (516) 773-4500

3010 Westchester Ave
Ste 207
Purchase, NY 10577
Phone (914) 221-6440

Networks

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

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1649268327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215100",
            "telephone_number": "516-773-6660",
            "fax_number": "516-773-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 NORTHERN BLVD",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215100",
            "telephone_number": "516-773-6660",
            "fax_number": "516-773-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCK",
        "first_name": "CLIFFORD",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "175672",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "175672",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.