Avraham Berko, M.D.
Individual provider Active NPI Internal Medicine Physician · Staten Island, NY
NPI 1831534056 · NPPES record last updated Jun 13, 2014
Key facts
- NPI
- 1831534056
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2751561 (NY)
- Practice address
- 355 Bard Ave
Staten Island, NY 10310-1664 - Phone
- (718) 818-1234
- NPI assigned
- May 1, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mary Imogene Bassett Hospital
Practice addresses (Care Compare)
1 Norton Ave
Oneonta, NY 13820-2629
Phone (607) 547-3456
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
Hospital & facility affiliations
- Aurelia Osborn Fox Memorial Hospital
- Bassett Healthcare
- O'Connor Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141031000032 | NY | Practitioner - Internal Medicine | 0143441352 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2751561 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Mary Imogene Bassett Hospital | Current |
Accepting new patients | |
| Aurelia Osborn Fox Memorial Hospital Society | Past | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- aberko34265@bassett.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2751561 | NY | Yes |
Addresses
Primary practice location
355 Bard Ave
Staten Island, NY 10310-1664
Mailing address
355 Bard Ave
Staten Island, NY 10310-1664
Phone (718) 818-1234
Other providers in Staten Island, NY
- Ingrid Berihuete
- Zeina Berjaoui
- Richard Stephen Berk
- Ariana Berkani
- Elizabeth Berken
- Jamie Berkowitz
- Lauren Honey Berlin
- Melissa Berlingieri Hurley
- Brady A. Berman
- Bruce Lee Berman
All providers in Staten Island, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.