Irina Berlin Medical PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

211765 Issued in NY

Legal business name

IRINA BERLIN MEDICAL PC

Practice address

40 W Brighton Ave
Suite 104
Brooklyn, NY 11224-4901

Phone

(718) 627-8300

Fax

(718) 627-8302

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Miss Irina Berlin, M.D.NPI 1932169307

Title

President

Phone

(718) 627-8300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irina Berlin, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1932169307
  Medicare reassignment Care Compare group NPD Authorized official
• Liying Han, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Valhalla, NY
  • NPI 1750502589
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1861639296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-627-8300",
            "fax_number": "718-627-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W BRIGHTON AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244901",
            "telephone_number": "718-627-8300",
            "fax_number": "718-627-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA BERLIN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "BERLIN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-627-8300",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "211765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisney Iribarren San Miguel
• Monique Irick
• Monique Irick, LMSW
• Irina Belau, SLP PC
• Irina Belyanskaya OT PC
• Irina Bulmash OT PC
• Irina Kovaleva Medical Care PC
• Irina Matatova, NP in Family Health, P.C.
• Irina Medical P.C.
• Irina Novikov NP in Adult Health PC

• Medical Specialty Clinic/Center in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.