JESSICA BERMAN (NPI# 1669433496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669433496 |
| Entity Type | Individual |
| Full Name | JESSICA BERMAN |
| Credential | MD |
| Practice Address |
501 New Karner Rd Albany NY 12205-3874 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5183930391 |
| Practice Fax Number | 5183723281 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 226578 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | FIDELIS | 070606000041 | 01 |
| NY | CDPHP | 10092905 | 01 |
| NY | 02598630 | 05 | |
| NY | GHI/HMO | 116107 | 01 |
| NY | SENIOR WHOLE HEALTH | 200787 | 01 |
| NY | BSNENY | 000415821003 | 01 |
| NY | MVP | 367731 | 01 |
| NY | AETNA | 7617595 | 01 |
| NY | EMPIRE BC | 5223P1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083234215 | Jessica Rachel Berman | Student in an Organized Health Care Education/Training Program | 650 W Baltimore St, Baltimore, MD 21201-1510 | 2020-04-17 |
| 1952945834 | Jessica Ellice Berman | Speech-Language Pathologist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-11-04 |
| 1033766506 | Jessica Berman | Speech-Language Pathologist | 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 | 2019-08-20 |
| 1952769432 | Jessica Berman | Registered Nurse | 403 E 34th St, New York, NY 10016-4972 | 2016-01-29 |
| 1134514672 | Jessica Berman | Student in an Organized Health Care Education/Training Program | 1430 Tulane Ave, Sl-50, New Orleans, LA 70112-2632 | 2015-04-01 |
| 1881035731 | Jessica Berman | Doula | 118 13th Ave, San Mateo, CA 94402-2425 | 2013-07-08 |
| 1245240449 | Jessica A Berman | Internal Medicine | 201 Gibraltar Rd Ste 120, Horsham, PA 19044-2331 | 2006-08-09 |
| 1477516581 | Jessica Rae Berman | Specialist | 535 E 70th St, New York, NY 10021-4872 | 2006-04-10 |
| Street Address |
501 NEW KARNER RD |
| City | ALBANY |
| State | NY |
| Zip Code | 12205-3874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295736478 | Laurie Burton-grego | Dietitian, Registered | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3882 | 2005-08-10 |
| 1437787165 | Benjamin Tyler Colwell | Physician Assistant | 501 New Karner Rd, Albany, NY 12205-3874 | 2020-03-30 |
| 1366008443 | Bethany Margaret Meyers | Physician Assistant | 501 New Karner Rd, Albany, NY 12205-3874 | 2019-05-14 |
| 1043757891 | Diane E Durivage | Social Worker | 501 New Karner Rd, Ste 1a, Albany, NY 12205-3874 | 2017-01-31 |
| 1437693942 | Marykate Monroe | Social Worker | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3874 | 2016-12-19 |
| 1942758438 | Alexis Diane Hargrave | Physician Assistant | 501 New Karner Rd, Albany, NY 12205-3874 | 2016-09-14 |
| 1245688621 | Community Medicine Population Health | Internal Medicine | 501 New Karner Rd, Albany, NY 12205-3882 | 2016-05-26 |
| 1558755637 | Community Care Physicians, PC | Internal Medicine | 501 New Karner Rd, Albany, NY 12205 | 2015-03-26 |
| 1841606712 | Alexandra Kawola | Pharmacist | 501 New Karner Rd, Albany, NY 12205-3882 | 2014-07-10 |
| 1730528076 | Dara Antonia Ribis | Pharmacist | 501 New Karner Rd, Suite 1a, Albany, NY 12205-3874 | 2013-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518564053 | Capital Regional Rx LLC | Pharmacy | 431 New Karner Road Bldg#4 Suite 180, Albany, NY 12205 | 2020-10-07 |
| 1548722549 | The Alternative Living Group, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 500 New Karner Road, Suite 3, Albany, NY 12205 | 2019-04-01 |
| 1003398439 | Sarah Itwaru | Social Worker | 401 New Karner Road, Albany, NY 12205 | 2018-09-01 |
| 1740708106 | Kenneth Cook | Physician Assistant | 121everett Rd, Albany, NY 12205 | 2017-09-06 |
| 1437691839 | Sarah Avery | Physical Therapist | 5 S Family Dr, Colonie, NY 12205 | 2016-11-16 |
| 1063892776 | Olsen Medical Sales, LLC | Durable Medical Equipment & Medical Supplies | 98 Everett Rd, Albany, NY 12205 | 2015-06-08 |
| 1972921484 | Alixandra Joy Foisy | Social Worker | 42 Oakwood Dr, Albany, NY 12205 | 2014-04-01 |
| 1780015206 | The Promptcare Companies | Durable Medical Equipment & Medical Supplies | 1015c Central Avenue, Albany, NY 12205 | 2013-12-09 |
| 1396088332 | Early Childhood Education Center | Day Training, Developmentally Disabled Services | 251 Washington Ave Extension, Albany, NY 12205 | 2013-03-28 |
| 1487906707 | Centerfordisabiltyservices | Preferred Provider Organization | 5 Keller Street, Albany, NY 12205 | 2012-10-10 |
| Find all providers in zip 12205 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1407492796 | American Ecare | Family Medicine | 3 Computer Dr W Ste 107, Albany, NY 12205-1621 | 2019-11-21 |
| 1124678347 | Carehere LLC | Family Medicine | Carehere Clinic- City of Albany, Ga, 2000 North Monroe Street, Albany, GA 31701 | 2019-09-19 |
| 1790332831 | Granland3 LLC | Family Medicine | 2622 Dawson Rd, Albany, GA 31707-1609 | 2019-08-22 |
| 1295397065 | Cerrito Creek Family Medicine Inc | Family Medicine | 400 Evelyn Ave., St. 107, Albany, CA 94706 | 2019-07-02 |
| 1487190526 | Tracey Anyanwu | Family Medicine | 539 N Westover Blvd, 133, Albany, GA 31707-1951 | 2017-01-12 |
| 1275911828 | St Claire Gitau Sumaili | Family Medicine | 2403 Osler Ct Ste A, Albany, GA 31707-0205 | 2015-05-15 |
| 1235516071 | Daniel Barton Mosher | Family Medicine | 2605 Willetta St Sw Ste D1, Albany, OR 97321-3481 | 2015-04-30 |
| 1508129214 | Alan Shifman Charles | Family Medicine | 741 Gateview Ave, Albany, CA 94706-1029 | 2012-06-18 |
| 1770840324 | Joseph A Kelly | Family Medicine | 27 Park Ln E, #2, Albany, NY 12204-1960 | 2012-04-20 |
| Find all providers in ALBANY | ||||
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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.