Organization Active NPI

Shelley Berson MD, PC

Doing business as Zzenter

  • Sleep Medicine (Otolaryngology) Physician
  • Montvale, NJ
National Provider Identifier
1689927105
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Otolaryngology) PhysicianTaxonomy code 207YS0012X
License
25MA05783000 Issued in NJ
Legal business name
SHELLEY BERSON MD, PC
Doing business as
Zzenter
Practice address
305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813
Phone
(201) 391-8282
Fax
(201) 391-8299
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Dr. Shelley Berson, MD
Title
President
Phone
(201) 391-8282

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Otolaryngology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YS0012X 25MA05783000 NJ Primary

Addresses

Primary practice location

305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813

Mailing address

305 W Grand Ave
Suite 500
Montvale, NJ 07645-1813
Phone (201) 391-8282

Other names 1

  • Zzenter Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1689927105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W GRAND AVE",
            "address_2": "SUITE 500",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451813",
            "telephone_number": "201-391-8282",
            "fax_number": "201-391-8299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLEY BERSON MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "BERSON",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-391-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NJ",
            "license": "25MA05783000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zzenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.