Individual provider Active NPI

George J Bertero Jr., MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1740396191
Registry record updated Dec 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154900 Issued in NY
Practice address
697 W End Ave Apt 1C
New York, NY 10025-6919
Phone
(718) 549-5053
Fax
(718) 884-2818
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 154900 NY Primary

Addresses

Primary practice location

697 W End Ave Apt 1C
New York, NY 10025-6919

Mailing address

3333 Henry Hudson Pkwy
Apt 10H
Bronx, NY 10463
Phone (718) 549-5053

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071016000110 NY Practitioner - Internal Medicine 6507952959 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Throgs Neck Multi Care, P.C. CurrentSince Dec 1, 1990 Accepting new patients

Locations

3058 E Tremont Ave
Bronx, NY 10461
Phone (718) 409-0500

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386115200000",
    "number": "1740396191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY",
            "address_2": "APT 10H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10463",
            "telephone_number": "718-549-5053",
            "fax_number": "718-884-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 W END AVE APT 1C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256919",
            "telephone_number": "718-549-5053",
            "fax_number": "718-884-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTERO",
        "first_name": "GEORGE",
        "middle_name": "J",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2013-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.