Active NPI
Suzanne T Berlin, DO
- Medical Oncology Physician
- Derry, NH
National Provider Identifier
1730145087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- DO1698
- 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, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO1698 | ME | MD | Medical Oncology Physician |
| 16747 | NH | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maine Center for Cancer Medicine & Blood Disorders, P.a. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba New England Cancer Specialists
- Durable Medical Equipment & Medical Supplies
- Kennebunk, ME
- NPI 1205376274
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.