Individual provider Active NPI

Randall G Berliner, MD

  • Neurology Physician
  • Bronx, NY
National Provider Identifier
1962469809
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
195905 Issued in NY
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

Updated by the provider on Oct 24, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01638462MedicaidNY
9603726003OtherNYCIGNA
134046855OtherNYAETNA
1279657OtherNYUNITED HEALT CARE
231955OtherNYMANAGED HEALT NET
P623258OtherNYOXFORD
134046855OtherNY1199
10599OtherNYHIP CMO
134046855OtherNYTAX ID#
0H1338OtherNYHEALTHNET OF THE NORTHEAS
RB0476N110OtherNYBC/BS
195905OtherNYHIP

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
I20040602000470 NY Practitioner - NeurologyPractitioner - Psychiatry 6103808464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
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, PCGroup PAC ID 6709809452, 7 clinicians

Practice addresses (Care Compare)

4234 Bronx Blvd
FRNT 1
Bronx, NY 10466-2669
Phone (718) 515-4347

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
70.56 of 100Reported as individual
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

LicenseStateTypeSpecialty
195905NYMDSpecialist

Practice roles (3 of 7)

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Yonkers CurrentSince Mar 30, 2020 Accepting new patients
St. Joseph'S Hospital & Medical Center CurrentSince Mar 30, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.