Active NPI
Cathy J. Berry, M.D., P.C.
- Obstetrics & Gynecology Physician
- Syracuse, NY
National Provider Identifier
1992784573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- CATHY J. BERRY, M.D., P.C.
- Practice address
- 101 Pine St
Syracuse, NY 13210-1149 - Phone
- (315) 422-8105
- Fax
- (315) 471-9903
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cathy J. Berry, M.D.
- Title
- Owner
- Phone
- (315) 422-8105
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
101 Pine St
Syracuse, NY 13210-1149
Mailing address
101 Pine St
Syracuse, NY 13210-1149
Phone (315) 422-8105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02618142 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051222000484 | NY | Part B Supplier - Clinic/Group Practice | 1052333606 |
Receives reassigned benefits from 8 practitioners Practice locations: Syracuse, NY; Liverpool, NY |
National Provider Directory
National Provider DirectoryLocations
101 Pine St
Syracuse, NY 13210
Phone (315) 422-8105
Practitioners & affiliated clinicians
Practitioners 22
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Midwife
- Cheshire, CT
- NPI 1912916792
-
- Adult Health Nurse Practitioner
- Syracuse, NY
- NPI 1205909165
-
- Advanced Practice Midwife
- Syracuse, NY
- NPI 1851379192
-
- Obstetrics & Gynecology Physician
- Massena, NY
- NPI 1003873290
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191283200000",
"number": "1992784573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PINE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101149",
"telephone_number": "315-422-8105",
"fax_number": "315-471-9903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PINE ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101149",
"telephone_number": "315-422-8105",
"fax_number": "315-471-9903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CATHY J. BERRY, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2007-10-02",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "CATHY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "315-422-8105",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02618142",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
- Jill Cater-Cyker, MS OTR/L
- Antonia Cathcart, MA, MFT, LPH
- Katherine Catherwood, FNP
- Catholic Charities of Onondaga County
- Catholic Charities of the Roman Catholic Diocese of Syracuse New York
- Lisa Christine Catlin, LMSW-C
- Randy Catterson, PT, DPT
- Jacqueline Ann Caughey
- Ashley Causey, RN
- Ricky Sam Cavallaro, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.