Active NPI
Lynn Claudine Berger, M.D.
- Pediatrics Physician
- Clifton Park, NY
National Provider Identifier
1730108895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 226657
- Practice address
- 942A Route 146
Clifton Park, NY 12065-3614 - Phone
- (518) 371-8000
- Fax
- (518) 371-5338
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 226657 | NY | Primary |
Addresses
Primary practice location
942A Route 146
Clifton Park, NY 12065-3614
Mailing address
942A Route 146
Clifton Park, NY 12065-3614
Phone (518) 371-8000
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6018610 | Other | NY | MVP HEALTHCARE |
| 863X91 | Other | NY | EMPIRE BC |
| 300652 | Other | NY | SENIOR WHOLE HEALTH |
| 02966049 | Medicaid | NY | |
| 10131559 | Other | NY | CDPHP |
| 5075773 | Other | NY | AETNA |
| 000417677001 | Other | NY | BSNENY |
| 080520000082 | Other | NY | FIDELIS |
| 126089 | Other | NY | GHI-HMO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1730108895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "942A ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653614",
"telephone_number": "518-371-8000",
"fax_number": "518-371-5338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "942A ROUTE 146",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653614",
"telephone_number": "518-371-8000",
"fax_number": "518-371-5338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGER",
"first_name": "LYNN",
"middle_name": "CLAUDINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "226657",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP HEALTHCARE",
"identifier": "6018610",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "863X91",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "300652",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02966049",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10131559",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5075773",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000417677001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "080520000082",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI-HMO",
"identifier": "126089",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.