Provider Demographics
NPI:1073598033
Name:BERMAN, JEFFREY O (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:O
Last Name:BERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:210 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-2901
Mailing Address - Country:US
Mailing Address - Phone:914-681-3146
Mailing Address - Fax:914-682-6403
Practice Address - Street 1:210 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10604-2901
Practice Address - Country:US
Practice Address - Phone:914-682-6488
Practice Address - Fax:914-682-6403
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1992872084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY130026394OtherRAILROAD MEDICARE
NY0004401952OtherAETNA NON HMO
NY133884168OtherEMPIRE STATE PLAN (NYS)
NY133884168OtherHIP
NY7504468-007OtherCIGNA SPECIALTY
NYP1884744OtherOXFORD
NY2303863OtherUNITED HEALTH CARE
NY4C5579OtherHEALTHE NET
NY133884168OtherBEECH STREET
NY133884168OtherHORIZON HEALTHCARE OF NY
NY000000074910OtherGHI HMO
NY133884168OtherMULTIPLAN
NY133884168OtherPOMCO
NY3000841OtherGHI PPO
NY133884168OtherPHCS
NY199287OtherCONNECTICARE
NY2251863OtherAETNA HMO
NY59821OtherBLUE CROSS
NY199287-4-WOtherWORKERS COMPENSATION
NYG27510Medicare UPIN