Active NPI
Marc Jay Berger, MD
- Gynecology Physician
- Flushing, NY
National Provider Identifier
1679642649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 179789
- Practice address
- 13726 71St Ave
Flushing, NY 11367-1939 - Phone
- (212) 496-1423
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 179789 | NY | Primary |
| General Practice Physician | 208D00000X | 179789 | NY |
Addresses
Primary practice location
13726 71St Ave
Flushing, NY 11367-1939
Mailing address
13726 71St Ave
Flushing, NY 11367-1939
Phone (212) 496-1423
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P695313 | Other | OXFORD | |
| N28808 | Other | HEALTHNET NORTHEAST | |
| 0005444592 | Other | AETNA | |
| 01562156 | Medicaid | NY | |
| 6007240 | Other | GHI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179789 | NY | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769385600000",
"number": "1679642649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13726 71ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671939",
"telephone_number": "212-496-1423",
"fax_number": "917-203-9091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13726 71ST AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671939",
"telephone_number": "212-496-1423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "MARC",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NY",
"license": "179789",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "179789",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P695313",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET NORTHEAST",
"identifier": "N28808",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005444592",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01562156",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6007240",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.