DR. MARC JAY BERGER MD NPI 1679642649

NPI Information

NPI: 1679642649
Provider Name: DR. MARC JAY BERGER, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
13726 71ST AVE
FLUSHING, NY
ZIP 11367
Phone: (212) 496-1423
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DR. Marc Jay Berger, MD is a gynecology obstetrics gynecology in Flushing, NY. DR. Marc Jay Berger, MD NPI is 1679642649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13726 71ST AVE
FLUSHING, NY
ZIP 11367-939
Phone: (212) 496-1423

The enumeration date for this NPI number is 11/6/2006 and was last updated on 7/8/2007.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	179789	NEW YORK	Yes
2	208D00000X	General Practice		179789	NEW YORK	X

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
1	N28808	OTHER		HEALTHNET NORTHEAST
2	P695313	OTHER		OXFORD
3	56J763	MEDICARE ID-TYPE UNSPECIFIED
4	01562156	MEDICAID	NEW YORK
5	0005444592	OTHER		AETNA
6	6007240	OTHER		GHI
7	F94844	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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