Active NPI
Melissa Gail Berlin, MD
- Family Medicine Physician
- Glen Ridge, NJ
National Provider Identifier
1992029110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA09094700
- Practice address
- 230 Sherman Ave
Glen Ridge, NJ 07028-1529 - Phone
- (973) 743-2321
- Fax
- (973) 259-0600
- NPI assigned
- Mar 17, 2010
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA09094700 | NJ | Primary |
Addresses
Primary practice location
230 Sherman Ave
Glen Ridge, NJ 07028-1529
Mailing address
14-23 River Rd
Fair Lawn, NJ 07410-1240
Phone (201) 703-0600
Other names 1
- Melissa Gail Rapoport
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09094700 | NJ | MD | Family Medicine Physician |
Interoperability endpoints
- mberlin189423@ahs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562544000000",
"number": "1992029110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14-23 RIVER RD",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074101240",
"telephone_number": "201-703-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SHERMAN AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281529",
"telephone_number": "973-743-2321",
"fax_number": "973-259-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERLIN",
"first_name": "MELISSA",
"middle_name": "GAIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-17",
"last_updated": "2019-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA09094700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "RAPOPORT",
"middle_name": "GAIL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.