SHELLEY BERSON MD PC (NPI# 1316375074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316375074 |
| Entity Type | Organization |
| Organization Name | SHELLEY BERSON MD PC |
| Practice Address |
305 W Grand Ave Suite 500 Montvale NJ 07645-1813 |
| Practice Telephone | 2013918282 |
| Practice Fax Number | 2013918299 |
| Mailing Telephone | 2013918282 |
| Mailing Fax Number | 2013918299 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | MAGGIE CUELLO (BILLING DIRECTOR) |
| Authorized Official Telephone | 2013918282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173F00000X | Sleep Specialist, PhD | 25MA05783000 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1689927105 | 01 |
| Street Address |
305 W GRAND AVE SUITE 500 |
| City | MONTVALE |
| State | NJ |
| Zip Code | 07645-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407856990 | Samir Sodha | Orthopaedic Surgery | 305 W Grand Ave, Montvale, NJ 07645-1813 | 2005-07-26 |
| 1487055315 | Renaldo Spine Surgery | Orthopaedic Surgery | 305 W Grand Ave, Montvale, NJ 07645-1813 | 2014-09-10 |
| 1689086902 | Abbi Lambert | Health Educator | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2014-05-21 |
| 1497170120 | Rosy Mccann | Nutritionist | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2014-03-05 |
| 1659719375 | Stephen G Maurer Md, LLC | Orthopaedic Surgery | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2013-06-05 |
| 1689927105 | Shelley Berson Md, PC | Otolaryngology | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2012-10-22 |
| 1154678951 | Valley Management | Specialist | 305 W Grand Ave, Suite 400, Montvale, NJ 07645-1813 | 2012-08-10 |
| 1326311614 | Mount Sinai Department of Orthopaedic Surgery | Orthopaedic Surgery | 305 W Grand Ave, Suite 500, Montvale, NJ 07645-1813 | 2012-02-16 |
| 1568755866 | Nagaeda Jean | Obstetrics & Gynecology | 305 W Grand Ave, Montvale, NJ 07645-1813 | 2011-05-18 |
| 1437468550 | New Jersey Womens Wellness Center LLC | Obstetrics & Gynecology | 305 W Grand Ave, Montvale, NJ 07645-1813 | 2010-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851954416 | Dong Heon Oh Dds PC | Dentist | 305 W Gand Avenue, Suite 600, Montvale, NJ 07645 | 2019-04-19 |
| 1053884999 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 East Grand Avenue, Montvale, NJ 07645 | 2019-01-03 |
| 1528547890 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9 Grand Avenue, Montvale, NJ 07645 | 2018-08-08 |
| 1255859658 | Wegmans Food Markets, Inc. | Pharmacy | 100 Farm View, Montvale, NJ 07645 | 2017-09-06 |
| 1700254810 | Dipal Patel | Physical Therapist | 15 Kinderkamack Road South, Montvale, NJ 07645 | 2015-09-04 |
| 1871912675 | Marvin E. Mayerson | Pharmacist | 11 Ellsworth Terrace, Montvale, NJ 07645 | 2014-04-09 |
| 1134426182 | Tri State Anesthesia, P.c | Anesthesiology | 133 N Kinderkamack Rd, Montvale, NJ 07645 | 2011-02-26 |
| 1336383637 | Ping Gu | Internal Medicine | 225 Summit Avenue, Montvale, NJ 07645 | 2009-04-30 |
| 1891936779 | Olga Akselrod | Physician Assistant | 225 Summit Ave, Montvale, NJ 07645 | 2009-03-23 |
| 1700058393 | Catherine Slutzky | Speech-Language Pathologist | 4 Woodland Road, St Paul's Episcopal Church, Montvale, NJ 07645 | 2008-03-24 |
| Find all providers in zip 07645 | ||||
| Taxonomy Code | 173F00000X |
| Grouping | Other Service Providers |
| Classification | Sleep Specialist, PhD |
| Sleep medicine is a clinical specialty with a focus on clinical problems that require accurate diagnosis and treatment. The knowledge base of sleep medicine is derived from many disciplines including neuroanatomy, neurophysiology, respiratory physiology, pharmacology, psychology, psychiatry, neurology, general internal medicine, pulmonary medicine, and pediatrics as well as others. |
| Notes: Source: National Uniform Claim Committee (based on American Board of Sleep Medicine), 2007 [1/1/2008: new] Additional resources: www.absm.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730423443 | Personalized Medicine and Sleep Medicine, L.L.C. | Sleep Specialist, PhD | 628 Shrewsbury Avenue, Tinton Falls, NJ 07727 | 2012-11-19 |
| 1417202748 | Sana Sleep Study Inc | Sleep Specialist, PhD | 3196 Kennedy Blvd, 3rd Floor, Union City, NJ 07087-2436 | 2012-07-24 |
| 1114191293 | Evergreen Health and Wellness | Sleep Specialist, PhD | 2131 Highway 33, Hamilton, NJ 08690-1740 | 2008-04-18 |
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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.