Active NPI
Richard S. Berry MDPC
- Specialist
- Brooklyn, NY
National Provider Identifier
1952311946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 124011
- Legal business name
- RICHARD S. BERRY MDPC
- Practice address
- 2820 Ocean Pkwy
Brooklyn, NY 11235-7958 - Phone
- (718) 996-3000
- NPI assigned
- Aug 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Berry, MD
- Title
- President
- Phone
- (718) 996-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 124011 | NY | Primary |
Addresses
Primary practice location
2820 Ocean Pkwy
Brooklyn, NY 11235-7958
Mailing address
2820 Ocean Pkwy
Brooklyn, NY 11235-7958
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124011 | Other | NY | HIP |
| 4095409 | Other | NY | AETNA |
| 00233096 | Medicaid | NY | |
| 0033804 | Other | NY | GHI |
| 308920101 | Other | NY | HEALTHPLUW |
| 973731 | Other | NY | BLUE CROSS & BLUE SHIELD |
| 90436 | Other | NY | AETNA |
| 161917 | Other | NY | ELDERPLAN |
| MCA058903 | Other | NY | AMERICHOICE |
| 124011-A18 | Other | NY | HEALTHFIRST |
| 4C3563 | Other | NY | HEALTHNET |
| DS086 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Richard S Berry MDPC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Howard Beach, NY
- NPI 1841314994
Locations
1620 Voorhies Ave
#A
Brooklyn, NY 11235
Phone (718) 996-3000
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Brooklyn, NY
- NPI 1497756183
-
- Dermatology Physician
- Elmhurst, NY
- NPI 1962692152
-
- MOHS-Micrographic Surgery Physician
- Brooklyn, NY
- NPI 1649666975
-
- MOHS-Micrographic Surgery Physician
- Fresh Meadows, NY
- NPI 1356341432
-
- Dermatology Physician
- Forest Hills, NY
- NPI 1760525935
-
- Physician Assistant
- Brooklyn, NY
- NPI 1679129068
-
- Physician Assistant
- Brooklyn, NY
- NPI 1740724426
-
- Physician Assistant
- Inwood, NY
- NPI 1780178798
-
- Physician Assistant
- Basking Ridge, NJ
- NPI 1578829560
-
- Dermatology Physician
- Ridgewood, NJ
- NPI 1700890159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1952311946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 OCEAN PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112357958",
"telephone_number": "718-996-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD S. BERRY MDPC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-996-3000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NY",
"license": "124011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "124011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4095409",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00233096",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0033804",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPLUW",
"identifier": "308920101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "973731",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "90436",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "161917",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "MCA058903",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "124011-A18",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "4C3563",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS086",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.