NPIMap

Organization Active NPI

Care Telehealth Medical Services Ny PC

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
National Provider Identifier
1750060547
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
Legal business name
CARE TELEHEALTH MEDICAL SERVICES NY PC
Practice address
4849 Rugby Ave
Bethesda, MD 20814-3018
Phone
(443) 929-1478
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Alex Berezin
Title
Manager
Phone
(443) 929-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X Primary

Addresses

Primary practice location

4849 Rugby Ave
Bethesda, MD 20814-3018

Mailing address

4849 Rugby Ave
Bethesda, MD 20814-3018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, FL, CA, NY, NJ5 enrollments

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
O20230928000821 NV Part B Supplier - Clinic/Group Practice 2668826496 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV
O20240222001340 FL Part B Supplier - Clinic/Group Practice 2668826496 Receives reassigned benefits from 1 practitioner
Practice locations: Vero Beach, FL; West Palm Beach, FL
O20240222003947 CA Part B Supplier - Clinic/Group Practice 2668826496 Receives reassigned benefits from 1 practitioner
Practice locations: La Palma, CA
O20240305003807 NY Part B Supplier - Clinic/Group Practice 2668826496 Receives reassigned benefits from 5 practitioners
Practice locations: Port Jefferson, NY; Northport, NY; New York, NY; Brooklyn, NY
O20240410001535 NJ Part B Supplier - Clinic/Group Practice 2668826496 Receives reassigned benefits from 1 practitioner
Practice locations: Sayreville, NJ

National Provider Directory

National Provider Directory

Locations

1655 Palm Beach Lakes Blvd
Ste 900
West Palm Beach, FL 33401

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1750060547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 RUGBY AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 RUGBY AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143018",
            "telephone_number": "443-929-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TELEHEALTH MEDICAL SERVICES NY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A",
        "authorized_official_last_name": "BEREZIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "443-929-1478"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.