MARK M BERENSON (NPI# 1942248232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942248232 |
| Entity Type | Individual |
| Full Name | MARK M BERENSON |
| Credential | M.D. |
| Practice Address |
721 Main St. Melrose MA 02176 |
| Mailing Address |
405 Pearl St North Suburban Ortho Assoc Malden MA 02148 |
| Practice Telephone | 7816200198 |
| Practice Fax Number | 7816200108 |
| Mailing Telephone | 7816659500 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2018-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 32420 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0178551 | 05 | |
| MA | PALMETTO GBA | 200036492 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144232356 | Mark Berenson | Pathology | 1000 South Ave, Rochester, NY 14620-2733 | 2006-08-13 |
| 1093722126 | Mark S Berenson | Family Medicine | 2107 Livingston St, Suite A, Oakland, CA 94606-5218 | 2006-08-02 |
| Street Address |
721 MAIN ST. |
| City | MELROSE |
| State | MA |
| Zip Code | 02176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308881 | Mark Berenson, Md PC | Orthopaedic Surgery | 721 Main St, Melrose, MA 02176-2707 | 2018-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982212700 | Boston Prolotherapy & Orthopaedics, Pllc | Orthopaedic Surgery | 92 Montvale Ave Ste 4650, Stoneham, MA 02180-3631 | 2020-07-17 |
| 1609403146 | Thomas John Carroll | Orthopaedic Surgery | 224 Donald Ave, Somerset, MA 02726-5411 | 2020-03-25 |
| 1013557727 | University Orthopedics, Inc. | Orthopaedic Surgery | 10 Reservoir St, Mansfield, MA 02048-3104 | 2020-01-10 |
| 1659911618 | Orthopedic Care Physician Network, LLC | Orthopaedic Surgery | 1 Compass Way Ste 202, East Bridgewater, MA 02333-1466 | 2020-01-08 |
| 1457999351 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 89 Forbes Blvd Ste 1000, Mansfield, MA 02048-1281 | 2019-12-11 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1871159848 | Andrew Moon | Orthopaedic Surgery | 45 Stuart St Apt 2117, Boston, MA 02116-4769 | 2019-05-15 |
| 1316411929 | Orthopedic Care Physician Network LLC Plymouth | Orthopaedic Surgery | 225 Water St Ste C105, Plymouth, MA 02360-4062 | 2019-01-16 |
| 1871070144 | Giuseppe Orlando | Orthopaedic Surgery | 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 | 2018-07-19 |
| 1306339676 | Michael Adam Moverman | Orthopaedic Surgery | 19 Julie Rd, North Easton, MA 02356-2114 | 2018-06-12 |
| Find all providers with the same taxonomy | ||||
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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.