DR. MD Jack Jicchak Berger, NPI 1770568719
Rheumatology Physician in Purchase, NY, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1770568719
NPI Entity Type Individual
Provider Name DR. MD Jack Jicchak Berger
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 3030 Westchester Ave, Purchase, NY, US
Provider Mailing Address 3030 Westchester Ave, Purchase, NY, US, 105772574
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RR0500X

Taxonomy Name Rheumatology Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 132057
License State NY
Description An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.

Business Address

DR. MD Jack Jicchak Berger
3030 Westchester Ave

Purchase, NY, US

Phone: 914-682-6511
Fax: 914-607-6280

Mailing Address

DR. MD Jack Jicchak Berger
3030 Westchester Ave
Purchase, NY, US
ZIP 105772574
Phone: 914-682-6511
Fax: 914-607-6280

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RR0500X

Allopathic & Osteopathic Physicians

Internal Medicine

038356 CT No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
WP461 NY OXFORD 01
132057 NY CONNECTICARE 01
133884168 NY EMPIRE STATE PLAN (NYS) 01
00597755 NY MEDICAID 05
0D1950/3C1296 NY HEALTH NET 01
133884168 NY MULTIPLAN 01
4540891 NE AETNA NON HMO 01
461517 NY UNITED HEALTH CARE 01
51A531 NY BLUE CROSS PPO 01
133884168 NE BEECH STREET 01
133884168 NY POMCO 01
000000045882 NY GHI HMO 01
0051090 NY GHI PPO 01
132057-1W NY WORKERS COMPENSATION 01
132057 NY HIP 01
1721079-005 NY CIGNA 01
2178760 NE AETNA HMO 01
517105 NY PHCS 01

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Crysta Song

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