DR. EVAN R BERGER (NPI# 1225032204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225032204 |
| Entity Type | Individual |
| Full Name | DR. EVAN R BERGER |
| Credential | MD |
| Practice Address |
235 N Belle Mead Rd East Setauket NY 11733-3456 |
| Practice Telephone | 6317513000 |
| Practice Fax Number | 6317513366 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 6317513366 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2007-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 109138 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 109138 | 01 |
| NY | 00679790 | 05 | |
| NY | DEA CERTIFICATION | AB4330659 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326501446 | Evan Berger | Student in an Organized Health Care Education/Training Program | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2019-04-08 |
| 1356769731 | Evan M Berger | Ophthalmology | 3235 Academy Ave Ste 200, Portsmouth, VA 23703-3200 | 2014-04-02 |
| Street Address |
235 N BELLE MEAD RD |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598221269 | Lauren Mcgarty | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2019-02-18 |
| 1316450240 | Lisa Rizzuto | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-11-14 |
| 1033644059 | Gillian Schwartz | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-04-27 |
| 1164957171 | Catherine Izzo | Nutritionist | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2017-04-27 |
| 1093173262 | Beverly Perrone | Health Maintenance Organization | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2016-02-03 |
| 1538536875 | Joanne Palladino | Nurse Practitioner | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2015-08-21 |
| 1003161183 | Sandra Thomas | Nurse Practitioner | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2012-07-16 |
| 1396013231 | Laureen Callahan | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2011-12-07 |
| 1275825580 | Toni Ann Traschetti | Physician Assistant | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2011-05-04 |
| 1578664645 | Consuelito Ana Medrano | Internal Medicine | 235 N Belle Mead Rd, East Setauket, NY 11733-3456 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1871922898 | Island Concierge Medical Services Pllc | Internal Medicine | 3400 Nesconset Hwy. Suite 103, East Setauket, NY 11733 | 2013-11-12 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| 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. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452691 | Lindsey Coffin | Specialist | 52 Old Post Rd, East Setauket, NY 11733-3742 | 2019-08-18 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1104367606 | Diana Devito-stewart | Specialist | 6 S Jersey Ave, East Setauket, NY 11733-2021 | 2017-03-16 |
| 1629522875 | Saima Saboohi | Specialist | 25 Campsite Ln, East Setauket, NY 11733-3404 | 2016-08-04 |
| 1881006393 | Raven Perez | Specialist | 2 Quail Ln, East Setauket, NY 11733-2620 | 2014-06-02 |
| 1033540083 | Patrice White | Specialist | 9 Clemens Ct, East Setauket, NY 11733-1759 | 2013-12-02 |
| 1043643521 | Samantha Furlani | Specialist | 11 Storyland Ln, East Setauket, NY 11733-1742 | 2013-08-19 |
| 1982969374 | Natalie Erica Behna | Specialist | 65 Erik Dr, East Setauket, NY 11733-3486 | 2012-07-11 |
| 1497018816 | Dawn Manchester | Specialist | 22 Game Lane, East Setauket, NY 11733 | 2012-06-20 |
| 1770846214 | Lindsay Bosch | Specialist | 519 Pond Path, East Setauket, NY 11733-1129 | 2012-06-20 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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| 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.