DR. JONATHAN BERALL


Address: 11 Wall Street, Medical Clinic, 9th Floor, New York, NY 10005
Phone: 2126567722

DR. JONATHAN BERALL (NPI# 1154594364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154594364
Entity Type Individual
Full Name DR. JONATHAN BERALL
Credential M.D.
Practice Address 11 Wall Street
Medical Clinic, 9th Floor
New York
NY 10005
Mailing Address 173 Columbia Hts
Brooklyn
NY 11201-2140
Practice Telephone 2126567722
Mailing Telephone 2126141711
Enumeration Date 2008-04-09
Last Update Date 2008-04-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 109031 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 11 WALL STREET
MEDICAL CLINIC, 9TH FLOOR
City NEW YORK
State NY
Zip Code 10005

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1922318658 Li Lin Physical Therapist 14 Wall Street, Main Floor, New York, NY 10005 2010-10-15
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

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City NEW YORK
Zip Code 10005

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Dataset Information

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.

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