Active NPI
Recaredo Trinidad Berbano, MD
- Endocrinology, Diabetes & Metabolism Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 315177
- Practice address
- 222 E 31St St Apt 1R
New York, NY 10016-6333 - Phone
- (315) 201-0621
- NPI assigned
- Feb 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 315177 | NY | Primary |
Addresses
Primary practice location
222 E 31St St Apt 1R
New York, NY 10016-6333
Mailing address
222 E 3Rd St # 1R
New York, NY 10009-7574
Phone (315) 201-0621
Other practice location 1
241 Claremont Ave
Tamaqua, PA 18252-4302
Phone (570) 225-7211
Other practice location 2
445 Wyoming Avenue
Kingston, PA 18704
Phone (570) 718-0520
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001887950-0005 | Medicaid | PA | |
| 0018879500003 | Medicaid | PA | |
| 07675556 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
222 E 31St St
Apt 1R
New York, NY 10016-6333
Phone (315) 201-0621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recaredo T. Berbano, M.D.,P.C. | Current | Accepting new patients | |
| Bethany Medical Clinic of New York, PLLC | Current | Accepting new patients |
Locations
80 Maiden Ln
Rm 1105
New York, NY 10038
Phone (315) 201-0621
200 W 57th St
Ste 601
New York, NY 10019
Phone (315) 201-0621
445 Wyoming Ave
Kingston, PA 18704
Phone (570) 718-0505
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- New York, NY
- NPI 1902173313
-
- Specialist
- Kingston, PA
- NPI 1376693580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777420800000",
"number": "1942275748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E 3RD ST # 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100097574",
"telephone_number": "315-201-0621",
"fax_number": "646-536-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E 31ST ST APT 1R",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166333",
"telephone_number": "315-201-0621"
}
],
"practiceLocations": [
{
"address_1": "241 Claremont Ave",
"address_purpose": "LOCATION",
"city": "Tamaqua",
"state": "PA",
"postal_code": "182524302",
"country_code": "US",
"telephone_number": "570-225-7211",
"fax_number": "570-501-7939",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "445 Wyoming Avenue",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "PA",
"postal_code": "18704",
"country_code": "US",
"telephone_number": "570-718-0520",
"fax_number": "570-718-0522",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERBANO",
"first_name": "RECAREDO",
"middle_name": "TRINIDAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-23",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "315177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001887950-0005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018879500003",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07675556",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Beranbaum, Khilnani, Neistadt, Jacobs, Hertz and Sherman, M.D., P.C. (Breastlink of New York)
- Sarah Elizabeth Beranbaum, PHD
- Giammauro Berardi, MD, PHD
- Robert Berardi
- Jessica Berarducci
- Rony Berbara, M.D.
- May Berbari, MS, CCC-SLP
- Felicia Kelly Berben, PHARMD
- Francis Berberena, LMSW
- Nisida Berberi, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.