PORT WASHINGTON GASTROENTEROLOGY PC NPI 1134401474

NPI Information

  • NPI: 1134401474
  • Provider Name: PORT WASHINGTON GASTROENTEROLOGY, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Other Name: PAUL S. BERG, MD
  • Address: 2001 MARCUS AVE
    SUITE N204
    NEW HYDE PARK, NY
    ZIP 11042
  • Phone: (516) 684-9229

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NPI Details

PORT WASHINGTON GASTROENTEROLOGY, PC is a specialist in New Hyde Park, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PORT WASHINGTON GASTROENTEROLOGY, PC NPI is 1134401474. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Paul S. Berg, Md.

The provider's business location address is:

2001 MARCUS AVE
SUITE N204
NEW HYDE PARK, NY
ZIP 11042-061
Phone: (516) 684-9229
Fax: (516) 684-9918

The provider's authorized official is Paul S Berg .
The authorized official title is Physician and has the following contact phone number (516) 684-9229.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 11/26/2012.

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
1174400000XSpecialist198682NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A100058956MEDICARE UPINNEW YORK

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: 11/21/2025

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