Organization Active NPI

Daniel S. Berman, M.D., Infectious Diseases P.C.

  • Infectious Disease Physician
  • Monroe, NY
National Provider Identifier
1972018208
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
155841 Issued in NY
Legal business name
DANIEL S. BERMAN, M.D., INFECTIOUS DISEASES P.C.
Practice address
491 State Route 208 Ste 211
Monroe, NY 10950-1656
Phone
(718) 633-7828
Fax
(718) 577-5916
NPI assigned
Dec 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Daniel S Berman, MDNPI 1336128206
Title
President
Phone
(914) 806-3678

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)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 155841 NY Primary

Addresses

Primary practice location

491 State Route 208 Ste 211
Monroe, NY 10950-1656

Mailing address

4 Stralisk CT Unit 403
Monroe, NY 10950-8922
Phone (718) 633-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180308002033 NY Part B Supplier - Clinic/Group Practice 2567723562 Receives reassigned benefits from 27 practitioners
Practice locations: New Rochelle, NY; Monroe, NY; Flushing, NY; Bronx, NY
O20210316001757 GA Part B Supplier - Clinic/Group Practice 2567723562 Receives reassigned benefits from 2 practitioners
Practice locations: Stone Mountain, GA

National Provider Directory

National Provider Directory

Locations

491 State Route 208
Ste 211
Monroe, NY 10950
Phone (718) 633-7828

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1512691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1972018208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STRALISK CT UNIT 403",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109508922",
            "telephone_number": "718-633-7828",
            "fax_number": "718-577-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 STATE ROUTE 208 STE 211",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501656",
            "telephone_number": "718-633-7828",
            "fax_number": "718-577-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL S. BERMAN, M.D., INFECTIOUS DISEASES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-08",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-806-3678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "155841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.

Verify at the official NPI Registry.