Organization Active NPI

Health East Medical PC

  • Internal Medicine Physician
  • Richmond Hill, NY
National Provider Identifier
1912152968
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
192338 Issued in NY
Legal business name
HEALTH EAST MEDICAL PC
Practice address
8371 116TH St Ste M1
Richmond Hill, NY 11418-3448
Phone
(347) 389-4945
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Dr. Yana Shamaev Berk, MDNPI 1972613768
Title
Ceo
Phone
(347) 389-4945

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 192338 NY Primary

Addresses

Primary practice location

8371 116TH St Ste M1
Richmond Hill, NY 11418-3448

Mailing address

8371 116TH St Ste M1
Richmond Hill, NY 11418-3448
Phone (347) 389-4945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090327000063 NY Part B Supplier - Clinic/Group Practice 5890852347 Receives reassigned benefits from 1 practitioner
Practice locations: New Hyde Park, NY; Richmond Hill, NY; Manhasset, NY

National Provider Directory

National Provider Directory

Locations

124 Main St
Ste 16
Huntington, NY 11743
Phone (631) 423-7000

800 Community Dr
Ste 309
Manhasset, NY 11030
Phone (516) 236-3108

8371 116th St
Ste M1
Richmond Hill, NY 11418
Phone (347) 389-4945

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1912152968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8371 116TH ST STE M1",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "347-389-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8371 116TH ST STE M1",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114183448",
            "telephone_number": "347-389-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EAST MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "SHAMAEV BERK",
        "authorized_official_first_name": "YANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-389-4945",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "192338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.