Individual provider Active NPI

Douglas Sharlin Berkman, M.D., SC.M.

  • Urology Physician
  • Bordentown, NJ
National Provider Identifier
1811154362
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
25MA08723600 Issued in NJ
Practice address
243 Route 130 Ste 100
Bordentown, NJ 08505-2137
Phone
(877) 388-2778
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD439845 PA
Urology Physician 208800000X 237376 NY
Urology Physician 208800000X 25MA08723600 NJ Primary

Addresses

Primary practice location

243 Route 130 Ste 100
Bordentown, NJ 08505-2137

Mailing address

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Other practice location 1

15000 Midlantic Dr Ste 100
Mount Laurel, NJ 08054-1573
Phone (856) 252-1000

Other identifiers 1

IdentifierTypeStateIssuer
0231011MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dberkman10138@njurology.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20100728000917 NJ Practitioner - Urology 0143353110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

Hospital & facility affiliations

  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237376NYMDUrology Physician
MD439845PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
New Jersey Urology LLC Urology CurrentSince Apr 1, 2018 Accepting new patients
Atlanticare Physician Group PA CurrentSince Jun 16, 2023 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jun 16, 2023 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Mar 31, 2019 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Mar 31, 2019 Accepting new patients
Summit Medical Group, Inc Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

1925 Pacific Ave
Fl 1
Atlantic City, NJ 08401
Phone (609) 441-8165

36 Newark Ave
Ste 200
Belleville, NJ 07109
Phone (973) 759-6180

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

2500 English Creek Ave
Ste 1200
Egg Harbor Twp, NJ 08234
Phone (609) 704-1980

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

15000 Midlantic Dr
Ste 100
Mount Laurel, NJ 08054
Phone (856) 252-1000

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

570 Egg Harbor Rd
Ste A1
Sewell, NJ 08080
Phone (856) 582-9645

1103 W Sherman Ave
Ste 2B
Vineland, NJ 08360
Phone (856) 213-4035

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

Interoperability endpoints

  • Direct secure messaging: dberkman10138@njurology.direct-ci.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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1811154362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND HILL RD",
            "city": "BERKELEY HEIGHTS",
            "state": "NJ",
            "postal_code": "079222104",
            "telephone_number": "908-273-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 ROUTE 130 STE 100",
            "city": "BORDENTOWN",
            "state": "NJ",
            "postal_code": "085052137",
            "telephone_number": "877-388-2778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15000 Midlantic Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541573",
            "country_code": "US",
            "telephone_number": "856-252-1000",
            "fax_number": "856-252-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKMAN",
        "first_name": "DOUGLAS",
        "middle_name": "SHARLIN",
        "name_prefix": "Dr.",
        "credential": "M.D., SC.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD439845",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "237376",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA08723600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231011",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dberkman10138@njurology.direct-ci.com",
            "affiliation": "N",
            "address_1": "15000 Midlantic Dr Ste 100",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bordentown, NJ

Sources for this page

Verify at the official NPI Registry.