Organization Active NPI

Anthony Bertelle M.D. P.C.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1891039426
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ANTHONY BERTELLE M.D. P.C.
Practice address
7515 13TH Ave
Brooklyn, NY 11228-2409
Phone
(718) 234-8111
Fax
(718) 234-5379
NPI assigned
Nov 20, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Dr. Anthony BertelleNPI 1598874281
Title
M.D
Phone
(718) 234-8111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

7515 13TH Ave
Brooklyn, NY 11228-2409

Mailing address

7515 13TH Ave
Brooklyn, NY 11228-2409
Phone (718) 234-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130627000473 NY Part B Supplier - Clinic/Group Practice 8628218419 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1891039426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-234-8111",
            "fax_number": "718-234-5379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112282409",
            "telephone_number": "718-234-8111",
            "fax_number": "718-234-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY BERTELLE M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "BERTELLE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "718-234-8111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.