KIM J BERLIN (NPI# 1568444040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568444040 |
| Entity Type | Individual |
| Full Name | KIM J BERLIN |
| Practice Address |
830 Atlantic Ave Baldwin NY 11510-4098 |
| Practice Telephone | 5166234580 |
| Practice Fax Number | 5166234588 |
| Mailing Telephone | 5166234580 |
| Mailing Fax Number | 5166234588 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | N3156 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00490120 | 05 |
| Street Address |
830 ATLANTIC AVE |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-4098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912344250 | Chs Physician Partners, PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2013-05-28 |
| 1326318882 | Kornblit Medical PC | Family Medicine | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2011-12-30 |
| 1285861906 | Reyes/reyes Physical Therapy Pllc | Clinic/Center | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2009-06-20 |
| 1174742423 | Lucille Rose Brind | Dietitian, Registered | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2007-04-25 |
| 1285859025 | Patricia Kornblit | Nurse Practitioner | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2007-04-16 |
| 1093876054 | Baldwin Harbor Physical Therapy | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-12-13 |
| 1063587160 | Kelly Ann Sheehan-combest | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-11-22 |
| 1164507414 | Susan Matis Cicio | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-10-26 |
| 1255413050 | Arthur Kornblit | Personal Emergency Response Attendant | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-10-20 |
| 1780639997 | Juanito E Reyes | Physical Therapist | 830 Atlantic Ave, Baldwin, NY 11510-4098 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861437022 | Bruce Simmons | Podiatrist | 2581 W End Ave, Baldwin, NY 11510-3924 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
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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.