Active NPI
Tara J. Berman, MD
- Hospitalist Physician
- Philadelphia, PA
National Provider Identifier
1992854392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- MD423563
- Practice address
- 833 Chestnut Street East, Suite 300
Jef Faculty Peds and Dupont Childrens HLTH Prog
Philadelphia, PA 19107-4405 - Phone
- (215) 955-7800
- Fax
- (215) 861-8815
- NPI assigned
- Jan 9, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD423563 | PA | |
| General Practice Physician | 208D00000X | MD423563 | PA | |
| Hospitalist Physician | 208M00000X | MD423563 | PA | Primary |
Addresses
Primary practice location
833 Chestnut Street East, Suite 300
Jef Faculty Peds and Dupont Childrens HLTH Prog
Philadelphia, PA 19107-4405
Mailing address
P.O. Box 191
Rockland, DE 19723-0191
Phone (302) 651-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101001918 | Medicaid | PA | |
| 0036781 | Medicaid | NJ | |
| 4053044 | Medicaid | MD |
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 |
|---|---|---|---|
| MD423563 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomas Jefferson University Hospitals Inc | Past | Accepting new patients | |
| The Nemours Foundation | Past | Accepting new patients |
Interoperability endpoints
- tberman4671@direct.nemours.org
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1215916002
-
- Multi-Specialty Clinic/Center
- Jacksonville, FL
- NPI 1265585806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1992854392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 191",
"city": "ROCKLAND",
"state": "DE",
"postal_code": "197230191",
"telephone_number": "302-651-4000",
"fax_number": "302-651-4945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 CHESTNUT STREET EAST, SUITE 300",
"address_2": "JEF FACULTY PEDS AND DUPONT CHILDRENS HLTH PROG",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191074405",
"telephone_number": "215-955-7800",
"fax_number": "215-861-8815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMAN",
"first_name": "TARA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD423563",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PA",
"license": "MD423563",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD423563",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101001918",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0036781",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4053044",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.