Individual provider Active NPI

Suzanne T Berlin, DO

  • Medical Oncology Physician
  • Derry, NH
National Provider Identifier
1730145087
Registry record updated Mar 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
DO1698 Issued in ME
Practice address
Lahey Hematology and Oncology at Parkland, Derry
6 Tsiennto Rd., Suite 101LL
Derry, NH 03038-1584
Phone
(603) 537-2060
Fax
(603) 537-2062
NPI assigned
Apr 25, 2006
Last updated
Mar 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 58198 MA
Medical Oncology Physician 207RX0202X 16747 NH
Medical Oncology Physician 207RX0202X DO1698 ME Primary

Addresses

Primary practice location

Lahey Hematology and Oncology at Parkland, Derry
6 Tsiennto Rd., Suite 101LL
Derry, NH 03038-1584

Mailing address

PO Box 911
Brattleboro, VT 05302-0911
Phone (207) 985-7601

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 Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
DO1698MEMDMedical Oncology Physician
16747NHMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Center for Cancer Medicine & Blood Disorders, P.a. PastSince Jan 25, 2016 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520812800000",
    "number": "1730145087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053020911",
            "telephone_number": "207-985-7601",
            "fax_number": "207-396-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAHEY HEMATOLOGY AND ONCOLOGY AT PARKLAND, DERRY",
            "address_2": "6 TSIENNTO RD., SUITE 101LL",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030381584",
            "telephone_number": "603-537-2060",
            "fax_number": "603-537-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "SUZANNE",
        "middle_name": "T",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2018-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "58198",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NH",
            "license": "16747",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "ME",
            "license": "DO1698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Derry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2018; 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.