Costa Berkshire Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COSTA BERKSHIRE GROUP LLC

Practice address

111 Broadway
Suite 1302
New York, NY 10006-1901

Phone

(212) 777-1510

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Brenda Loper

Title

Manager

Phone

(212) 777-1510

Specialties & licenses 1

Addresses

Other names 1

• DOUGLAS BAILYN MBR Other name

Locations

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1982039129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE 1302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061901",
            "telephone_number": "212-777-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE 1302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061901",
            "telephone_number": "212-777-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTA BERKSHIRE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "LOPER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-777-1510",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOUGLAS BAILYN MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cosmetic Eye Surgery, PLLC
• Cosmetic Surgery and Derm, PLLC
• Cosmetic Surgery and Dermatology PLLC
• Cosmopolitan Optometry, P.C.
• Francesca Cossarini
• Isadora Costa Chacon, M.D.
• Marina Costa Pena, MHC-LP
• Lisley Carolinne Costa Siqueira, LMSW
• Alyssa Nicole Costa, PA
• Andrea Costa

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.