Mark S Berman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA046622 Issued in NJ

Practice address

920 Main St
2ND FLR
Hackensack, NJ 07601-5017

Phone

(201) 489-8250

Fax

(201) 489-2933

NPI assigned

Mar 1, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1659348381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 MAIN ST",
            "address_2": "2ND FLR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015017",
            "telephone_number": "201-489-8250",
            "fax_number": "201-489-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MAIN ST",
            "address_2": "2ND FLR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015017",
            "telephone_number": "201-489-8250",
            "fax_number": "201-489-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "MARK",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA046622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1578867917",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fred Berlin, MD
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• Myrvine Bernadotte, MD
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• Eric Daniel Bernstein
• Janon Berry Wilson, LPC
• Noelle Bei Bessette, MD

• All providers in Hackensack, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.