DR. ROBERT DOUGLAS BERNEY (NPI# 1902907017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902907017 |
| Entity Type | Individual |
| Full Name | DR. ROBERT DOUGLAS BERNEY |
| Credential | D.C. |
| Practice Address |
61 Route 111 Smithtown NY 11787-3712 |
| Mailing Address |
61 Rte 111 Smithtown NY 11787 |
| Practice Telephone | 6313607733 |
| Practice Fax Number | 6313607786 |
| Mailing Telephone | 6313607733 |
| Mailing Fax Number | 6313607786 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X002930-1 | NY | Chiropractic Providers |
| Street Address |
61 ROUTE 111 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-3712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154397594 | Dennis Michael Illuzzi | Podiatrist | 61 Route 111, Smithtown, NY 11787-3712 | 2006-02-26 |
| 1760770283 | Diana Serviss | Contractor | 61 Route 111, Smithtown, NY 11787-3712 | 2011-07-18 |
| 1639367576 | Robert D. Berney | Chiropractor | 61 Route 111, Smithtown, NY 11787-3712 | 2007-10-04 |
| 1336232388 | Cecilia Capuano King | Podiatrist | 61 Route 111, Smithtown, NY 11787-3712 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336332063 | Raymond E. Bowles, Dc | Chiropractor | 165 Hauppauge Rd, Smithtown, NY 11787-4850 | 2007-08-27 |
| 1578642138 | Joseph C Sullivan IIi | Chiropractor | 17 Leonard St, Smithtown, NY 11787-1015 | 2006-11-03 |
| 1619062577 | Robert Stephen Wilder | Chiropractor | 329 East Jericho Turnpike, Smithtown, NY 11787 | 2006-10-04 |
| 1417052499 | Philip Albert Facquet IIi | Chiropractor | 35 Washington Blvd, Smithtown, NY 11787 | 2006-09-14 |
| 1912927047 | Benjamin Tannenbaum | Chiropractor | 496 Smithtown Byp Ste 200, Smithtown, NY 11787-5011 | 2006-07-20 |
| 1376562025 | David A Wallman | Chiropractor | 32 Lawrence Ave, Smithtown, NY 11787-3605 | 2006-07-19 |
| 1750311502 | John W. Lohr | Chiropractor | 359 Route 111, Smithtown, NY 11787-4739 | 2006-07-04 |
| 1467416446 | Richard Steven Block | Chiropractor | 301 Maple Ave, Smithtown, NY 11787-4900 | 2006-04-14 |
| 1346224755 | Desi M Menendez | Chiropractor | 20 Gilbert Ave, Suite 203, Smithtown, NY 11787-5326 | 2005-11-30 |
| 1881292092 | New Beginnings Chiropractic, PC | Chiropractor | 323 E Main St Ste 1, Smithtown, NY 11787-2822 | 2020-10-12 |
| Find all providers in SMITHTOWN | ||||
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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.