Active NPI
Robert S Berger, M.D.
- Dermatology Physician
- White Plains, MD
National Provider Identifier
1659374460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- D30976
- Practice address
- 4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063 - Phone
- (301) 843-1600
- Fax
- (301) 645-4734
- NPI assigned
- May 24, 2005
- Last updated
- Dec 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | D30976 | MD | Primary |
Addresses
Primary practice location
4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063
Mailing address
4225 Altamont PL
Unit # / 3Rd Floor
White Plains, MD 20695-3063
Phone (301) 843-1600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Dermatology | Current | Accepting new patients |
| Johns Hopkins University | Current | Accepting new patients | |
| Charles County Surgical Center, L.L.C. | Past | Accepting new patients |
Locations
5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1659374460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL",
"address_2": "UNIT # / 3RD FLOOR",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063",
"telephone_number": "301-843-1600",
"fax_number": "301-645-4734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4225 ALTAMONT PL",
"address_2": "UNIT # / 3RD FLOOR",
"city": "WHITE PLAINS",
"state": "MD",
"postal_code": "206953063",
"telephone_number": "301-843-1600",
"fax_number": "301-645-4734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "ROBERT",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-24",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "MD",
"license": "D30976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.