Individual provider Active NPI

Alexander Berenblit, MD

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1770631236
Registry record updated May 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
157133 Issued in NY
Practice address
581 Ocean Pkwy
Brooklyn, NY 11218-5913
Phone
(718) 437-6500
Fax
(718) 437-2711
NPI assigned
Jan 8, 2007
Last updated
May 4, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 157133 NY Primary

Addresses

Primary practice location

581 Ocean Pkwy
Brooklyn, NY 11218-5913

Mailing address

581 Ocean Pkwy
Brooklyn, NY 11218-5913
Phone (718) 437-6500

Other identifiers 1

IdentifierTypeStateIssuer
00850000MedicaidNY

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 Medicine

State licenses

LicenseStateTypeSpecialty
157133NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermed Care PC Past Accepting new patients
Ocean Medical Plus PC Past Accepting new patients
Alexander Berenblit, M.D. Neurology Past Accepting new patients

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1770631236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185913",
            "telephone_number": "718-437-6500",
            "fax_number": "718-437-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185913",
            "telephone_number": "718-437-6500",
            "fax_number": "718-437-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENBLIT",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "157133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00850000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2008; 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.