Al Ira Berger, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

O33640 Issued in NY

Practice address

755 Montauk Highway
Suite 1
Oakdale, NY 11769

Phone

(631) 589-2600

Fax

(631) 589-2845

NPI assigned

Aug 4, 2006

Last updated

Jul 14, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1992713853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MONTAUK HIGHWAY",
            "address_2": "SUITE 1",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "11769",
            "telephone_number": "631-589-2600",
            "fax_number": "631-589-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MONTAUK HIGHWAY",
            "address_2": "SUITE 1",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "11769",
            "telephone_number": "631-589-2600",
            "fax_number": "631-589-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "AL",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "O33640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Buckley LCSW
• Kelly Ann Andriano, RPH
• Danielle Ashby
• Salil Bakshi, M.D.
• Mary Ann Beatty, PTA
• Jared Ross Beyer, RN
• Roberta Biancuzzo Staebler, MA
• Brandon Bjertnes, LMHC
• Patricia Blanco
• Amanda R Bloom, COTA

• General Practice Dentistry in Oakdale, NY
• Providers in Oakdale, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.