Bruce Lee Berman, M.D.
Individual provider Active NPI Geriatric Medicine (Internal Medicine) Physician · Staten Island, NY
NPI 1699889337 · NPPES record last updated Nov 12, 2012
Key facts
- NPI
- 1699889337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- License
- 185296-1 (NY)
- Practice address
- 1050 Clove Rd
Staten Island, NY 10301-3627 - Phone
- (718) 816-6440
- Fax
- (718) 816-3749
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jamaica Hospital
Flushing Hospital and Medical Center
Practice addresses (Care Compare)
13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276
14601 45TH Ave
Flushing, NY 11355-2200
Phone (718) 670-5562
20016 Hollis Ave
Saint Albans, NY 11412-1712
Phone (718) 736-8204
4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5486
8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000
Hospital & facility affiliations
- Jamaica Hospital Medical Center
- Flushing Hospital Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.19 of 100
- Quality
- 82.16
- Promoting interoperability
- 79
- Improvement activities
- 40
- Cost
- 75.98
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.68 of 100
- Quality
- 88.38
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 68.89
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060426000407 | NY | Practitioner - Internal Medicine |
1759391402 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 185296-1 | NY | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles (5 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flushing Hospital & Medical Center | Current |
Accepting new patients | |
| Flushing Hospital Medical Center | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Jamaica Hospital | Current |
Accepting new patients | |
| Jamaica Hospital Medical Center | Past | Accepting new patients |
Locations
14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562
4500 Parsons Blvd
Ste Acc
Flushing, NY 11355
11120 Merrick Blvd
Jamaica, NY 11433
Phone (718) 206-7510
80 Marcus Dr
Melville, NY 11747
Phone (631) 391-7889
13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942
20016 Hollis Ave
Saint Albans, NY 11412
Phone (718) 736-8204
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- bberman66341@direct.medisys.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 185296-1 | NY | Yes |
Addresses
Primary practice location
1050 Clove Rd
Staten Island, NY 10301-3627
Mailing address
2791 Richmond Ave
Suite 201
Staten Island, NY 10314-5859
Phone (718) 816-6440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01504489 | Medicaid | NY |
Other providers in Staten Island, NY
- Avraham Berko
- Jamie Berkowitz
- Lauren Honey Berlin
- Melissa Berlingieri Hurley
- Brady A. Berman
- Ellen Berman
- Jeffrey Berman
- Keith Spencer Berman
- Kimberly Berman
- Samantha Leigh Berman
All providers in Staten Island, NY · Geriatric Medicine (Internal Medicine) Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.