Debra Ellen Berg, MD

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

208450 Issued in NY

Practice address

900 Intervale Ave
Archcare Senior Life
Bronx, NY 10459-4240

Phone

(718) 732-7165

NPI assigned

Jun 20, 2006

Last updated

Dec 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Union Health Center, Inc

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1871639989
  Medicare reassignment NPD
• Union Health Center

  • Internal Medicine Physician
  • New York, NY
  • NPI 1013900315
  NPD
• City of New York Office of Payroll Administration

  dba New York City Dept of Health & Mental Hygiene Richmond

  • Community Health Clinic/Center
  • Staten Island, NY
  • NPI 1366499444
  NPD (past)
• City of New York Office of Payroll Administration

  dba New York City Department of Health & Mental Hygienes Manhattanville H

  • Community Health Clinic/Center
  • New York, NY
  • NPI 1659327674
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1700821832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE",
            "address_2": "ARCHCARE SENIOR LIFE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594240",
            "telephone_number": "718-732-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 INTERVALE AVE",
            "address_2": "ARCHCARE SENIOR LIFE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594240",
            "telephone_number": "718-732-7165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "DEBRA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "208450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03067907",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LIC NUMBER",
            "identifier": "208450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathalia Beras Ramirez, MD
• Melissa Beras
• Samantha Liza Berenguer
• Bintou Berete, PA
• Christine Leslie Bereth, DDS
• Hayley Berg
• Bergen Dental Center LLP
• Alexandra Berger, MD
• Arielle Berger, M.D.
• Arthur Berger, EDD

• Infectious Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.

Verify at the official NPI Registry.