Stephen Berchin, D.D.S

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

060051 Issued in NY

Practice address

4303 13TH Ave
Brooklyn, NY 11219-1337

Phone

(347) 598-1782

NPI assigned

Mar 28, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wall Pediatric Dentistry LLC

  • Pediatric Dentistry
  • Wall Township, NJ
  • NPI 1326878950
  NPD Authorized official

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1942732284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 E 66TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112345604",
            "telephone_number": "347-598-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 13TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112191337",
            "telephone_number": "347-598-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERCHIN",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "060051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulsah Berberoglu
• Bernard Berchin, MD
• Eileen Berchin
• Hannah Berchin
• Melissa Beth Berchin
• Silvia Bercovici
• Asher Bercow
• Sabine Bercy, RPA-C
• Natalia Berdichevskiy
• Elie Berdy, LCSW

• Pediatric Dentistry in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.