Active NPI
Randall G Berliner, MD
- Neurology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 195905
- Practice address
- 4234-1 Bronx Blvd
Bronx, NY 10466-2668 - Phone
- (718) 515-4347
- Fax
- (718) 653-8641
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 195905 | NY | |
| Psychiatry Physician | 2084P0800X | 195905 | NY | |
| Neurology Physician | 2084N0400X | 195905 | NY | Primary |
Addresses
Primary practice location
4234-1 Bronx Blvd
Bronx, NY 10466-2668
Mailing address
4234-1 Bronx Blvd
Bronx, NY 10466-2801
Phone (718) 515-4347
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01638462 | Medicaid | NY | |
| 9603726003 | Other | NY | CIGNA |
| 134046855 | Other | NY | AETNA |
| 1279657 | Other | NY | UNITED HEALT CARE |
| 231955 | Other | NY | MANAGED HEALT NET |
| P623258 | Other | NY | OXFORD |
| 134046855 | Other | NY | 1199 |
| 10599 | Other | NY | HIP CMO |
| 134046855 | Other | NY | TAX ID# |
| 0H1338 | Other | NY | HEALTHNET OF THE NORTHEAS |
| RB0476N110 | Other | NY | BC/BS |
| 195905 | Other | NY | HIP |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040602000470 | NY | Practitioner - Neurology | 6103808464 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Rush Medical College of Rush University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Regional Neurological Associates, PC
Practice addresses (Care Compare)
4234 Bronx Blvd
FRNT 1
Bronx, NY 10466-2669
Phone (718) 515-4347
Hospital & facility affiliations
- Montefiore Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.56 of 100
- Quality
- 71.66
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 10
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195905 | NY | MD | Specialist |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Josephs Hospital Yonkers | Current | Accepting new patients | |
| St. Joseph'S Hospital & Medical Center | Current | Accepting new patients | |
| St. Joseph'S Hospital Yonkers | Current | Accepting new patients |
Locations
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
107 S Broadway
Yonkers, NY 10701
Phone (914) 378-7110
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- drberliner@rna.directmedgenehr.com
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Yonkers, NY
- NPI 1356316921
NY
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- Family Medicine Physician
- Yonkers, NY
- NPI 1083689657
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571875200000",
"number": "1962469809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4234-1 BRONX BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104662801",
"telephone_number": "718-515-4347",
"fax_number": "718-653-8641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4234-1 BRONX BLVD",
"city": "BRONX",
"state": "NY",
"postal_code": "104662668",
"telephone_number": "718-515-4347",
"fax_number": "718-653-8641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLINER",
"first_name": "RANDALL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2019-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "195905",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "195905",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "195905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01638462",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9603726003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "134046855",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALT CARE",
"identifier": "1279657",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALT NET",
"identifier": "231955",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P623258",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "1199",
"identifier": "134046855",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP CMO",
"identifier": "10599",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID#",
"identifier": "134046855",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET OF THE NORTHEAS",
"identifier": "0H1338",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "RB0476N110",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "195905",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.