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NEW BERLIN FAMILY PRACTICE
NPI 1003869066
Nurse Practitioner - Family in New Berlin, NY

Active since May 18, 2006
4 TERRACE HTS, NEW BERLIN, NY 13411(607) 847-6750 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About New Berlin Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW BERLIN FAMILY PRACTICE (NPI 1003869066) is a healthcare organization registered as a family in New Berlin, New York and active in the NPI registry since May 2006. The organization lists Roger J. Halbert, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003869066
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNEW BERLIN FAMILY PRACTICE
Location Address4 TERRACE HTSNew Berlin, NY 13411-9514
Mailing AddressPo Box 250, 4 Terrace HeightsNew Berlin, NY 13411-0250
Phone(607) 847-6750
Organization SubpartNo
Authorized OfficialRoger J. HalbertCeo · (607) 847-7000
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1003869066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4 TERRACE HTS, New Berlin, NY 13411
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Other Identifiers 1

Medicaid02160938NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Berlin Family Practice's NPI number?

The NPI number for New Berlin Family Practice is 1003869066. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is New Berlin Family Practice located?

New Berlin Family Practice is located at 4 Terrace Hts, New Berlin, NY 13411. The listed phone number is (607) 847-6750.

What is New Berlin Family Practice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for New Berlin Family Practice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.