BRUCE LEE BERMAN (NPI# 1699889337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699889337 |
| Entity Type | Individual |
| Full Name | BRUCE LEE BERMAN |
| Credential | M.D. |
| Practice Address |
1050 Clove Rd Staten Island NY 10301-3627 |
| Mailing Address |
2791 Richmond Ave Suite 201 Staten Island NY 10314-5859 |
| Practice Telephone | 7188166440 |
| Practice Fax Number | 7188163749 |
| Mailing Telephone | 7188166440 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2012-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
185296-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01504489 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457424640 | Bruce Z Berman | Counselor | 20 Pond Park Rd, Office 102, Hingham, MA 02043-4327 | 2006-11-16 |
| 1790767176 | Bruce Berman | Psychologist | 211 W 56th St, Suite 34d, New York, NY 10019-4312 | 2005-11-18 |
| Street Address |
1050 CLOVE RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152681 | Alma Janet Olivos-asarian | Ophthalmology | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2005-08-24 |
| 1609399344 | Jean Ellen Tepelmann | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-07-25 |
| 1912445644 | Barbara A Casuso | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-02-01 |
| 1063954113 | Advantagecare Physicians PC | Family Medicine | 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 | 2016-11-07 |
| 1144678954 | Staten Island Physician Practice PC | Family Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2016-06-02 |
| 1801275375 | Peter De Cesare | Respiratory Therapist, Registered | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-05-29 |
| 1518344365 | Mirjeta Abazaga | Optometrist | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-04-30 |
| 1336532126 | Shirley Vincent | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-03-18 |
| 1609267707 | Princy Mary Paulose | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-02-10 |
| 1992102644 | Danielle Decesare | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1700011392 | Dashima Carthen | Internal Medicine | 1150 South Ave Fl 3, Staten Island, NY 10314-3404 | 2009-05-26 |
| 1659490118 | Diana Cherezova | Internal Medicine | 690 Casleton Ave., 2nd Floor, Staten Island, NY 10314 | 2007-03-28 |
| 1821156936 | Thippa R Ramaraju | Internal Medicine | 130 Hillside Ter, Staten Island, NY 10308-2808 | 2006-12-04 |
| 1528098381 | Joseph Patrick Santiamo | Internal Medicine | 4268 Richmond Ave, Staten Island, NY 10312-6239 | 2006-07-04 |
| 1124001599 | Giovannie Jean-baptiste | Internal Medicine | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-21 |
| 1396003182 | Sv Operating Three LLC | Internal Medicine | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-04-30 |
| 1235317181 | Anita Szerszen | Internal Medicine | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2008-02-02 |
| 1851387682 | Anna Warchol | Internal Medicine | 2627b Hylan Blvd, Staten Island, NY 10306-4353 | 2005-09-27 |
| 1013902493 | Barbara Malach | Internal Medicine | 2627b Hylan Blvd, Staten Island, NY 10306-4353 | 2005-09-13 |
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|---|---|---|---|---|
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1770116956 | Wellbeing Medical Care, Pllc | Internal Medicine | 3745 75th Street, Jackson Heights, NY 11372-6435 | 2020-02-17 |
| 1962044396 | Shafi S Rana | Internal Medicine | 504 Hillside Blvd, New Hyde Park, NY 11040-2912 | 2019-10-17 |
| 1104468099 | Lebarty Medical Pllc | Internal Medicine | 317 Danielle Dr, Schenectady, NY 12303-5179 | 2019-10-11 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1871153767 | Judith Alyce Salerno | Internal Medicine | 300 E 64th St Apt 27a, New York, NY 10065-7548 | 2019-06-13 |
| 1396259826 | Irina Powers Medical Pllc | Internal Medicine | 1562 1st Ave # 308, New York, NY 10028-4004 | 2017-11-20 |
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1073980744 | Young Soo Lee | Internal Medicine | 211 E 13th St, 4e, New York, NY 10003-5691 | 2015-08-28 |
| 1184007270 | Fiorella Myrella Perez | Internal Medicine | 1 Gustave L Levy Pl # 1070, New York, NY 10029 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.