Jack M Berdy is a Internal Medicine in Teaneck, New Jersey. Jack M Berdy practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jack M Berdy is 1215999115. The last update date is 2008-05-14.
Jack M Berdy's current location address is 155 Cedar Ln, Teaneck, New Jersey. You can contact this provider via phone number 2018364248 and fax number 2018365420. The mailing address for Jack M Berdy is 155 Cedar Ln, Teaneck, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack M Berdy |
|---|---|
| Address | 155 Cedar Ln, Teaneck, New Jersey |
| Phone Number | 2018364248 |
| Fax Number | 2018365420 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1215999115 |
|---|---|
| Provider Enumeration Date | 2006-04-05 |
| Last Updated Date | 2008-05-14 |
Provider Mailing Address Detail
| Address | 155 Cedar Ln |
|---|---|
| City | Teaneck |
| State | New Jersey (NJ) |
| Post Code | 76664301 |
| Phone Number | 2018364248 |
| Fax Number | 2018365420 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | MA60816 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853523000 | NJ | AMERIHEALTH# | |
| P00332714 | NJ | RAILROAD MEDICARE # | |
| 125870 | NJ | GHI PPO# | |
| 3K3825 | NJ | HEALTHNET# | |
| 479230 | NJ | AETNA HMO # | |
| 230SB2 | NJ | EMPIRE BC/BS # | |
| 6925201 | NJ | -- | |
| P3688668 | NJ | OXFORD # | |
| 479230 | NY | AETNA PPO# |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack M Berdy by the Centers for Medicare & Medicaid Services?
The Jack M Berdy has been assigned the NPI (National Provider Identifier) 1215999115 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Jack M Berdy is physically located?
The Jack M Berdy is physically situated at the following address: 155 Cedar Ln, Teaneck, NJ, 76664301.
What is Jack M Berdy's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack M Berdy's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1215999115 to Jack M Berdy?
The Centers for Medicare & Medicaid Services assigned the 1215999115 to Jack M Berdy on 2006-04-05.
When was the information regarding Jack M Berdy most recently updated?
The details pertaining to the Jack M Berdy, including its address, specialty, and other relevant information, were last refreshed on 2008-05-14.