MR. JEREMY J BERGER DO
NPI 1649672585
Student in an Organized Health Care Education/Training Program in Utica, NY

Active since September 23, 2014
111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966(315) 234-3998 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Oct 18, 2018 (2 updates tracked since 2018).

About Mr. Jeremy J Berger Do NPPES

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

MR. JEREMY J BERGER DO (NPI 1649672585) is an individual student in an organized health care education/training program in Utica, New York and active in the NPI registry since September 2014.

NPPES Registry Identity

NPI1649672585
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JEREMY J BERGERCredential: DO
Location Address111 HOSPITAL DRUtica, NY 13502-2517
Mailing Address111 Hospital DrUtica, NY 13502-2517 · (315) 624-6100
Fax(315) 234-3998
Sole ProprietorNo
Enumeration DateSeptember 23, 2014
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
NPI 1649672585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 017988 (NY)
111 HOSPITAL DR, Utica, NY 13502

Other Identifiers 1

Medicaid04542421NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Physician Assistant (Medical)
111 HOSPITAL DR
UTICA, NY 13502
Student in an Organized Health Care Education/Training Program
111 HOSPITAL DR
UTICA, NY 13502
Internal Medicine (Infectious Disease)
111 HOSPITAL DR
UTICA, NY 13502
Physician Assistant
111 HOSPITAL DR
UTICA, NY 13502
Radiology (Diagnostic Radiology)
111 HOSPITAL DR
UTICA, NY 13502

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 Jeremy Berger's NPI number?

The NPI number for Jeremy Berger is 1649672585. It was assigned to this individual provider in the NPPES registry on September 23, 2014.

Where is Jeremy Berger located?

Jeremy Berger practices at 111 Hospital Dr, Utica, NY 13502. The listed phone number is (315) 917-9966.

What is Jeremy Berger's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeremy Berger was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.