Provider Demographics
NPI:1336383298
Name:BERGER, ARI I (MD)
Entity type:Individual
Prefix:DR
First Name:ARI
Middle Name:I
Last Name:BERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:718 TEANECK ROAD
Mailing Address - Street 2:HOSPICE & PALLIATIVE CARE
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-379-5610
Mailing Address - Fax:201-379-5611
Practice Address - Street 1:718 TEANECK ROAD
Practice Address - Street 2:HEALTH PARTNER SERVICES
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-833-3000
Practice Address - Fax:201-227-6207
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY264460207RH0002X
NJ25MA09817400207RH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03773122Medicaid
NYA400096681Medicare PIN