Claudia E Berdugo, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB06428000 Issued in NJ

Practice address

205 Summer Ave
Newark, NJ 07104-2628

Phone

(973) 484-2800

Fax

(973) 484-9633

NPI assigned

Sep 16, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The University Hospital Hospital, Newark, NJ, CCN 310119

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cberdugo@primedcarepa.amazing-direct.com
• Direct secure messaging: evila@primedcarepa.amazing-direct.com

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.

• Pri Med Care PA

  • Internal Medicine Physician
  • Newark, NJ
  • NPI 1063449023
  Medicare reassignment NPD

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

• University Hospital

  • General Acute Care Hospital
  • Newark, NJ
  • NPI 1215998323
  Care Compare affiliation

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1841285780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042628",
            "telephone_number": "973-484-2800",
            "fax_number": "973-484-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SUMMER AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042628",
            "telephone_number": "973-484-2800",
            "fax_number": "973-484-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERDUGO",
        "first_name": "CLAUDIA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06428000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7944608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Benson
• Ryan Michael Benson, MD
• Tyrone Bentley, MD
• Jonathan Berardi, APRN, FNP-C
• Wayne Sarkis Berberian, M.D.
• Courtney Josephine Berg, DO
• Russ S Bergman, DMD
• Vivi-Anna Bergson, MD
• Lorik Berisha, MD
• Margaret Purcell Berkofsky, MS, OTR

• Internal Medicine Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.