Individual provider Active NPI

William Berger, MD

  • Internal Medicine Physician
  • Great Neck, NY
National Provider Identifier
1760914634
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
302691 Issued in NY
Practice address
17 Maple Dr Ste 5
Great Neck, NY 11021-2000
Phone
(516) 604-3418
Fax
(516) 439-4961
NPI assigned
Mar 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 302691 NY Primary

Addresses

Primary practice location

17 Maple Dr Ste 5
Great Neck, NY 11021-2000

Mailing address

5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (201) 546-0028

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
I20200925001872 NY Practitioner - Internal Medicine 0547509820 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Maple Dr
Suite 5
Great Neck, NY 11021-2000
Phone (516) 604-3418

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
302691NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Essen Medical Associates,PC CurrentSince Aug 20, 2023 Accepting new patients
Northeast Medical Practice, PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
House Call Medical Services of New York, PLLC Internal Medicine CurrentSince Aug 20, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince Aug 20, 2023 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Bronx Medical Practice P.C. Internal Medicine CurrentSince Aug 20, 2023 Accepting new patients

Locations

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

17 Maple Dr
Ste 5
Great Neck, NY 11021
Phone (516) 604-3418

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

59 Southern Blvd
Nesconset, NY 11767
Phone (631) 628-5000

9901 Queens Blvd
Rego Park, NY 11374
Phone (718) 268-4500

Interoperability endpoints

  • Direct secure messaging: william.berger.1@29114.direct.athenahealth.com

Organizations & group practices 8

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": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1760914634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CUBA HILL RD",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117401624",
            "telephone_number": "201-546-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MAPLE DR STE 5",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212000",
            "telephone_number": "516-604-3418",
            "fax_number": "516-439-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "302691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.