Berry Hill Medical Associates, MD PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

125202 Issued in NY

Legal business name

BERRY HILL MEDICAL ASSOCIATES, MD PC

Practice address

898 Oyster Bay Rd
A
East Norwich, NY 11732-1051

Phone

(516) 922-6546

Fax

(516) 922-6811

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Alan J. Nelson, M.D.

Title

President

Phone

(516) 922-6546

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1720147606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "898 OYSTER BAY RD",
            "address_2": "A",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321051",
            "telephone_number": "516-922-6546",
            "fax_number": "516-922-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "898 OYSTER BAY RD",
            "address_2": "A",
            "city": "EAST NORWICH",
            "state": "NY",
            "postal_code": "117321051",
            "telephone_number": "516-922-6546",
            "fax_number": "516-922-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY HILL MEDICAL ASSOCIATES, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-922-6546",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "125202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00425416",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Gesner LLC
• Sally Antman Gleicher, PSYD
• Lawrence Glen Bassin, MD
• Anna Becker, M.D.
• Bernard L. Sorscher, PH.D., Psychology PLLC
• Stacy Bloom, R LCSW
• Lisa Marie Bono-Winter
• Kalliopi Cabarcas, LMHC
• Natalie Carbuccia Carbuccia
• Christopher B Carroll, PH.D.

• All providers in East Norwich, NY
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; 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.