Active NPI
Yana Shamaev Berk, MD
- Internal Medicine Physician
- Huntington, NY
National Provider Identifier
1972613768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 192338-1
- Practice address
- 200 West Carver Street
Huntington, NY 11743 - Phone
- (347) 389-4945
- Fax
- (631) 421-5991
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 192338-1 | NY | Primary |
Addresses
Primary practice location
200 West Carver Street
Huntington, NY 11743
Mailing address
200 West Carver Street
Huntington, NY 11743
Phone (347) 389-4945
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192338 | Other | STATE LICENSE # | |
| 112234982 | Other | AETNA | |
| 192338 | Other | HIP | |
| 192338 | Other | MEDICAL LICENSE NUMBER | |
| P3654049 | Other | OXFORD | |
| 2417161 | Other | UNITED | |
| P0041416 | Other | RAILROAD MEDICARE | |
| 112234962 | Other | TAX ID | |
| 2146968 | Other | VYTRA |
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192338-1 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Long Island Jewish Medical Center | Past | Accepting new patients | |
| North Shore University Hospital | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Richmond Hill, NY
- NPI 1912152968
-
- Internal Medicine Physician
- Great Neck, NY
- NPI 1093192858
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655424000000",
"number": "1972613768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 WEST CARVER STREET",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "347-389-4945",
"fax_number": "631-421-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST CARVER STREET",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "11743",
"telephone_number": "347-389-4945",
"fax_number": "631-421-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMAEV BERK",
"first_name": "YANA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-06-17",
"certification_date": "2022-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "192338-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "192338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "112234982",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIP",
"identifier": "192338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE NUMBER",
"identifier": "192338",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3654049",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "2417161",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P0041416",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "112234962",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "2146968",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.