Rebecca Berman, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344366 Issued in NY

Practice address

38 Old White Lake Turnpike
Swan Lake, NY 12783

Phone

(347) 528-5521

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Refuah Health Center IncGroup PAC ID 4880584416, 88 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Refuah Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1669470019
  Medicare reassignment Care Compare group NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1730454083
  Medicare reassignment NPD
• Parcare Community Health Network Inc

  • Multi-Specialty Clinic/Center
  • Brooklyn, NY
  • NPI 1942795943
  NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Liberty, NY
  • NPI 1942903588
  NPD
• Refuah Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Spring Valley, NY
  • NPI 1952678245
  NPD (past)

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1780140939",
    "addresses": [
        {
            "country_code": "IL",
            "country_name": "Israel",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "MALACHI HANAVI 10/10",
            "city": "BEIT SHEMESH",
            "state": "JERUSALEM",
            "postal_code": "9914123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 OLD WHITE LAKE TURNPIKE",
            "city": "SWAN LAKE",
            "state": "NY",
            "postal_code": "12783",
            "telephone_number": "347-528-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 N Main St",
            "address_purpose": "LOCATION",
            "city": "New Square",
            "state": "NY",
            "postal_code": "109778916",
            "country_code": "US",
            "telephone_number": "845-354-9300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "445 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112052735",
            "country_code": "US",
            "telephone_number": "718-963-0800",
            "fax_number": "718-534-5221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "604938",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "774535",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon A Alexy
• Carol Emily Benton, RN
• Victoria Lynn Boxberger, L.P.N.
• Ashley Conklin, REGISTERED NURSE
• Jessica Lynn Conklin, LPN
• Edna Mary Coster, RN
• Daytop Village, Inc

• Family Nurse Practitioner in Swan Lake, NY
• Providers in Swan Lake, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.