AMANDA CAROLE BERG BSN RN MSN NPI 1851064471

NPI Information

NPI: 1851064471
Provider Name: AMANDA CAROLE BERG, BSN, RN, MSN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
5645 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 670-2000
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Amanda Carole Berg, BSN, RN, MSN is an acute care nurse practitioner in Flushing, NY with 3 years of experience. Amanda Carole Berg, BSN, RN, MSN NPI is 1851064471. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2000

The NPI 1851064471 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/29/2021 and was last updated on 7/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	432100	NEW YORK	Yes
2	163WC0200X	Registered Nurse	Critical Care Medicine	719844	NEW YORK	No
3	363LA2100X	Nurse Practitioner	Acute Care	009979	CONNECTICUT	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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