Active NPI
Wayne Sarkis Berberian, M.D.
- Orthopaedic Foot and Ankle Surgery Physician
- Newark, NJ
National Provider Identifier
1962591735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 25MA05990000
- Practice address
- 90 Bergen St
Doc 1200
Newark, NJ 07103-2425 - Phone
- (973) 972-2150
- Fax
- (973) 972-2155
- NPI assigned
- Oct 12, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 25MA05990000 | NJ | Primary |
Addresses
Primary practice location
90 Bergen St
Doc 1200
Newark, NJ 07103-2425
Mailing address
30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7900902 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Pennsylvania, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
113 W Essex St
Suite 203
Maywood, NJ 07607-1023
Phone (201) 880-6790
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle & Foot Institute PC | Foot and Ankle Surgery | Current | Accepting new patients |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Past | Accepting new patients |
Locations
113 W Essex St
Ste 203
Maywood, NJ 07607
Phone (201) 880-6790
Interoperability endpoints
- wayne.berberian@direct.hackensackmeridian.org
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Maywood, NJ
- NPI 1154877678
-
- Orthopaedic Surgery Physician
- Newark, NJ
- NPI 1164432761
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
-
- Internal Medicine Physician
- Newark, NJ
- NPI 1760492367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248307200000",
"number": "1962591735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 BERGEN ST",
"address_2": "ADMC 12 1205",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071073000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BERGEN ST",
"address_2": "DOC 1200",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032425",
"telephone_number": "973-972-2150",
"fax_number": "973-972-2155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERBERIAN",
"first_name": "WAYNE",
"middle_name": "SARKIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2009-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NJ",
"license": "25MA05990000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7900902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.