DR. KEITH SPENCER BERMAN (NPI# 1811046444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811046444 |
| Entity Type | Individual |
| Full Name | DR. KEITH SPENCER BERMAN |
| Credential | M.D. |
| Practice Address |
1055 Hylan Blvd Staten Island NY 10305-2084 |
| Practice Telephone | 7183510654 |
| Practice Fax Number | 7183517108 |
| Mailing Telephone | 7183510654 |
| Mailing Fax Number | 7183517108 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 189565 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1055 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588796312 | Raghava Raju | Plastic Surgery | 2131 Richmond Road, Staten Island, NY 10306 | 2007-03-09 |
| 1053468504 | Robert V Vitolo | Plastic Surgery | 1510 Richmond Rd, Staten Island, NY 10304-2319 | 2007-01-05 |
| 1932144896 | Louis C Cutolo Jr. | Plastic Surgery | 1557 Victory Boulevard, Staten Island, NY 10314 | 2006-06-17 |
| 1992753883 | Michael Jude Lacqua | Plastic Surgery | 2372 Victory Blvd, Staten Island, NY 10314-6607 | 2006-05-04 |
| 1053396655 | Michael Cooper | Plastic Surgery | 500 Seaview Ave, Staten Island, NY 10305-3436 | 2005-12-07 |
| 1619488848 | Pacifico Plastic Surgery Medical Pllc | Plastic Surgery | 2372 Victory Blvd, Staten Island, NY 10314-6607 | 2017-10-16 |
| 1124125448 | Alan Cherofsky | Plastic Surgery | 4546 Hylan Blvd, Staten Island, NY 10312-6400 | 2006-09-20 |
| 1689699225 | United Medical Surgical PC | Plastic Surgery | 256 Mason Ave, Staten Island, NY 10305-3408 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.