Individual provider Active NPI

Neil Evan Berliner, M.D.

  • Psychiatry Physician
  • Flushing, NY
National Provider Identifier
1881777464
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
160559 Issued in NY
Practice address
4161 Kissena Blvd
Concoursesuite 6
Flushing, NY 11355-3105
Phone
(718) 461-6990
Fax
(516) 706-7854
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 160559 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Concoursesuite 6
Flushing, NY 11355-3105

Mailing address

73 Lenox Ave
New York, NY 10026-3007
Phone (212) 663-1975

Other identifiers 1

IdentifierTypeStateIssuer
160559OtherNYNY STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000489 NY Practitioner - Psychiatry 7719061043 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160559NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bridging Access to Care, Inc. CurrentSince Jan 16, 2017 Accepting new patients
Bridging Access to Care, Inc. CurrentSince Jan 16, 2017 Accepting new patients
Hudson Guild PastSince Feb 1, 2010 Accepting new patients
Benitez Medical Professional PC PastSince Apr 1, 2016 Accepting new patients
Create, Inc. PastSince Jul 1, 2024 Accepting new patients

Locations

2261 Church Ave
Brooklyn, NY 11226
Phone (347) 505-5117

390 Berry St
Fl 3
Brooklyn, NY 11249
Phone (347) 505-5000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1881777464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 LENOX AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263007",
            "telephone_number": "212-663-1975",
            "fax_number": "212-663-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "CONCOURSESUITE 6",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-461-6990",
            "fax_number": "516-706-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLINER",
        "first_name": "NEIL",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "160559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE MEDICAL LICENSE",
            "identifier": "160559",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.