Active NPI
Mark J. Berenberg, M.D.
- Pulmonary Disease Physician
- Quincy, MA
National Provider Identifier
1942298971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 45619
- Practice address
- 500 Congress St
Suite 3C
Quincy, MA 02169-0908 - Phone
- (781) 682-0600
- NPI assigned
- Oct 13, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 45619 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 45619 | MA |
Addresses
Primary practice location
500 Congress St
Suite 3C
Quincy, MA 02169-0908
Mailing address
500 Congress St
Suite 3C
Quincy, MA 02169-0908
Phone (781) 682-0600
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23047 | Other | HARVARD PILGRIM HEALTHCAR | |
| 0158623 | Medicaid | MA | |
| 000000020777 | Other | MA | BOSTON HEALTH NET |
| 290014541 | Other | RAILROAD MEDICARE | |
| B10159102 | Other | CIGNA HEALTHCARE | |
| 0004320 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 3124 | Other | AETNA/US HEALTHCARE | |
| 48 - 00036 | Other | MD | UNITED HEALTHCARE OF NE |
| 702305 | Other | TUFTS ASSOCIATED HEALTH P | |
| E05697 | Other | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Medical Group, PC | Pulmonary Disease | Past | Accepting new patients |
| Carney Medical Group | Past | Accepting new patients | |
| Caritas Medical Group, Inc. | Past | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Pulmonary Disease Physician
- Dorchester Center, MA
- NPI 1538101191
-
- Specialist
- Brighton, MA
- NPI 1174513204
-
- Specialist
- Brighton, MA
- NPI 1326142704
-
- Specialist
- Brighton, MA
- NPI 1356654495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370822400000",
"number": "1942298971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"address_2": "SUITE 3C",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "781-682-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CONGRESS ST",
"address_2": "SUITE 3C",
"city": "QUINCY",
"state": "MA",
"postal_code": "021690908",
"telephone_number": "781-682-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERENBERG",
"first_name": "MARK",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2013-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "45619",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "45619",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "23047",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0158623",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON HEALTH NET",
"identifier": "000000020777",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290014541",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "B10159102",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0004320",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "3124",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF NE",
"identifier": "48 - 00036",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ASSOCIATED HEALTH P",
"identifier": "702305",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "E05697",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.