Individual provider Active NPI

Recaredo Trinidad Berbano, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • New York, NY
National Provider Identifier
1942275748
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
315177 Issued in NY
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

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
001887950-0005MedicaidPA
0018879500003MedicaidPA
07675556MedicaidNY

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
I20230321000948 NY Practitioner - Internal MedicinePractitioner - Endocrinology 4284612912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bethany Medical Clinic of New York, PLLCGroup PAC ID 2567685472, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Recaredo T. Berbano, M.D.,P.C. Current Accepting new patients
Bethany Medical Clinic of New York, PLLC CurrentSince Dec 15, 2022 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.

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

Sources for this page

Verify at the official NPI Registry.