MITCHELL RUSS BERGER (NPI# 1053362970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053362970 |
| Entity Type | Individual |
| Full Name | MITCHELL RUSS BERGER |
| Credential | MD |
| Practice Address |
1999 Marcus Ave Suite M14 New Hyde Park NY 11042-1023 |
| Practice Telephone | 5164374360 |
| Mailing Telephone | 5164374360 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2011-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 173108 | NY | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
173108 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083730352 | Mitchell B Berger | Obstetrics & Gynecology | 1098 W Baltimore Pike Ste 3404, Media, PA 19063 | 2007-03-21 |
| 1750321956 | Mitchell Z Berger | Internal Medicine | 1200 Memorial Dr, Dalton, GA 30720 | 2006-06-07 |
| Street Address |
1999 MARCUS AVE SUITE M14 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124528674 | Avital E Friedman | General Practice | 1999 Marcus Ave, New Hyde Park, NY 11042-1033 | 2018-02-20 |
| 1659721082 | Michelle Anne Falcone | Physician Assistant | 1999 Marcus Ave, Suite 106b, New Hyde Park, NY 11042-1033 | 2016-06-16 |
| 1326494030 | Robert A Jason Md Pllc | Obstetrics & Gynecology | 1999 Marcus Ave, New Hyde Park, NY 11042-1033 | 2016-05-11 |
| 1629457106 | Neal Rairden | Pharmacist | 1999 Marcus Ave, Suite 116, New Hyde Park, NY 11042-1033 | 2015-05-29 |
| 1346641933 | Matthew Harrigan | Physical Therapist | 1999 Marcus Ave, M15, New Hyde Park, NY 11042-1033 | 2014-09-15 |
| 1558791210 | Inderjit Kainth | Physical Therapist | 1999 Marcus Ave, New Hyde Park, NY 11042-1033 | 2013-11-17 |
| 1518399526 | Diana M Sambuco | Nurse Practitioner | 1999 Marcus Ave, Suite 106b, New Hyde Park, NY 11042-1033 | 2013-07-31 |
| 1497192108 | James M Liguori Physician PC | Neuromusculoskeletal Medicine & OMM | 1999 Marcus Ave, Suite M11, New Hyde Park, NY 11042-1033 | 2013-06-04 |
| 1891062907 | Michael Turcinovic | Physical Therapist | 1999 Marcus Ave, New Hyde Park, NY 11042-1033 | 2011-11-18 |
| 1245520675 | Jessica Michele Dileonardo | Physician Assistant | 1999 Marcus Ave, Suite 120, New Hyde Park, NY 11042-1033 | 2011-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318168 | Primary Partnercare Physicians Pllc | Internal Medicine | 2800 Marcus Ave Ste 203b, New Hyde Park, NY 11042-1008 | 2020-05-21 |
| 1184243040 | Pcr Physician Pllc | Internal Medicine | 117 Greenway W, New Hyde Park, NY 11040-2226 | 2020-04-10 |
| 1700448552 | Life Body Medicine, Pllc | Internal Medicine | 6 Tuxedo Ave, New Hyde Park, NY 11040-3519 | 2019-07-02 |
| 1174053672 | William Shieh | Internal Medicine | 68 North Dr, New Hyde Park, NY 11040-2256 | 2017-06-16 |
| 1124429113 | Bharathi Reddy Md PC | Internal Medicine | 38 Duke Dr, New Hyde Park, NY 11040-1239 | 2014-09-09 |
| 1518397512 | Bernard Edelstein | Internal Medicine | 74 Lords Way, New Hyde Park, NY 11040-1212 | 2013-11-13 |
| 1760725477 | Karie Runcie | Internal Medicine | 27005 76th St, 3rd Floor, Research Building, Long Island Jewish Medical Center, New Hyde Park, NY 11040-1402 | 2013-04-01 |
| 1780954040 | Geraldine Lanman, M.d.,pc | Internal Medicine | 1 Delaware Dr Ste 48, New Hyde Park, NY 11042-1116 | 2012-01-04 |
| 1235418930 | Nasera Arif | Internal Medicine | 120 Moore St, New Hyde Park, NY 11040-1340 | 2011-08-11 |
| 1023307121 | Eun Ji Kim | Internal Medicine | 2001 Marcus Ave Ste S160, New Hyde Park, NY 11042-1011 | 2011-03-30 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.