ZOYA BERENSON MD PC-GREATER NE MEDICAL GROUP


Address: 10890 Bustleton Ave, Suite 103, Philadelphia, PA 19116-3313
Phone: 2154646104

ZOYA BERENSON MD PC-GREATER NE MEDICAL GROUP (NPI# 1407897903) 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) 1407897903
Entity Type Organization
Organization Name ZOYA BERENSON MD PC-GREATER NE MEDICAL GROUP
Other Organization Name ZOYA BERENSON MD PC-GREATER NE MEDICAL GROUP
Practice Address 10890 Bustleton Ave
Suite 103
Philadelphia
PA 19116-3313
Practice Telephone 2154646104
Practice Fax Number 2154649104
Mailing Telephone 2154646104
Mailing Fax Number 2154649104
Enumeration Date 2006-06-08
Last Update Date 2020-08-22
Authorized Official Name DR. ZOYA BERENSON (PRESIDENT)
Authorized Official Telephone 2154646104
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 0017423170002 05

Other Provider/Organization Names

Other Name Type Code
Zoya Berenson MD PC-Greater NE Medical Group Other Name - Individual/Organization

Office Location

Street Address 10890 BUSTLETON AVE
SUITE 103
City PHILADELPHIA
State PA
Zip Code 19116-3313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417137381 Yevgenia Lukovsky Durable Medical Equipment & Medical Supplies 10890 Bustleton Ave, Suite 100, Philadelphia, PA 19116-3313 2007-11-08
1730197880 Barry L Porten Dentist 10890 Bustleton Ave, 205, Philadelphia, PA 19116-3313 2006-08-04
1063426831 Nursing Home Care Management Inc. Home Health 10890 Bustleton Ave, Ste. 211, Philadelphia, PA 19116-3313 2006-07-28
1265455356 Leonid Gofman Dentist 10890 Bustleton Ave, Suite 107, Philadelphia, PA 19116-3313 2006-07-26
1205850906 David Trumbore Physical Medicine & Rehabilitation 10890 Bustleton Ave, Suite 103, Philadelphia, PA 19116-3313 2006-07-26
1518984970 Distar Inc. Internal Medicine 10890 Bustleton Ave, Suite 204, Philadelphia, PA 19116-3313 2006-07-16
1457392862 Zoya Berenson Internal Medicine 10890 Bustleton Ave, Suite 103, Philadelphia, PA 19116-3313 2006-06-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194334466 Ambassador Home Care Services LLC Homemaker 118080 Bustleton Av, Suite 301, Philadelphia, PA 19116 2020-07-23
1669919445 Lenore Pierce Bailey Social Worker 15100 Dahlia Drive, Philadelphia, PA 19116 2017-01-31
1477938991 Jessica Gabriela Dashevsky Counselor 467 Parlin St, Philadelphia, PA 19116 2015-07-27
1174949697 Absolute Therapy Care LLC Physical Therapist 10125 Verree Rd Ste 100, Philadelphia, PA 19116 2014-03-07
1790107936 Philmont Homecare, LLC Home Health 14500 Bustleton Avenue, Suite 208, Philadelphia, PA 19116 2014-01-07
1417381609 Able Ambulance Inc. Ambulance 1017 Haldeman Ave., Philadelphia, PA 19116 2013-08-25
1821356718 Timur Kakhramanov Nurse Practitioner 301 W.byberry Rd, Unit F-6, Philadelphia, PA 19116 2012-04-27
1982975173 Simon Perelshteyn Internal Medicine 10172 Verree Rd, Philadelphia, PA 19116 2012-01-19
1841574449 Irene Feldman Pharmacist 10000 Busteloton Ave, Philadelphia, PA 19116 2011-10-03
1992095590 Long Life Ambulance, LLC Ambulance 10065 Sandmeyer Lane, 103, Philadelphia, PA 19116 2011-04-15
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1881649721 Penn Executive Diagnostic Center, Inc. Clinic/Center 1801 Market St, Suite 200, Philadelphia, PA 19103-1628 2006-05-22
1497389969 Dynamic Injury Solutions, LLC Clinic/Center 2487 Grant Ave, Philadelphia, PA 19114-1004 2020-02-24
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Competitor

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City PHILADELPHIA
Zip Code 19116

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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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