Individual provider Active NPI

Irina Berlin, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1932169307
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
211765 Issued in NY
Practice address
40 W Brighton Ave
Suite # 104
Brooklyn, NY 11224-4902
Phone
(718) 627-8300
Fax
(718) 627-8302
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 211765 NY Primary

Addresses

Primary practice location

40 W Brighton Ave
Suite # 104
Brooklyn, NY 11224-4902

Mailing address

2785 W 5TH St
#23E
Brooklyn, NY 11224-4629
Phone (718) 627-8300

Other identifiers 1

IdentifierTypeStateIssuer
02318858MedicaidNY

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
I20040512000085 NY Practitioner - Gastroenterology 0749279941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Irina Berlin Medical PCGroup PAC ID 1052474046, 2 clinicians

Practice addresses (Care Compare)

40 W Brighton Ave
Suite 104
Brooklyn, NY 11224-4901
Phone (718) 627-8300

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy293
Upper gastrointestinal (GI) endoscopy for acid reflux387

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Seabreeze Endoscopy Inc Gastroenterology Current Accepting new patients
Irina Berlin Medical PC CurrentSince Nov 24, 2008 Accepting new patients
Good Health Medical, P.C. PastSince Feb 10, 1998 Accepting new patients
Matthew Joel Guy, MD, PC Gastroenterology Past Accepting new patients
Vincent Rovito Gastroenterology Past Accepting new patients
LMC Physician Services, PC Gastroenterology Past Accepting new patients
Long Island College Hospital Gastroenterology Past Accepting new patients

Locations

40 W Brighton Ave
Ste 104
Brooklyn, NY 11224
Phone (718) 627-8300

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: iberlin@berlin.directmedgenehr.com
  • Direct secure messaging: irb9025@direct.nyp.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1932169307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 W 5TH ST",
            "address_2": "#23E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112244629",
            "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": "112244902",
            "telephone_number": "718-627-8300",
            "fax_number": "718-627-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERLIN",
        "first_name": "IRINA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "211765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.