NORTHEAST MEDICAL PRACTICE, PC
NPI 1700571353
Internal Medicine in Great Neck, NY

Active since April 10, 2023
17 MAPLE DR STE 5, GREAT NECK, NY 11021(516) 604-3418 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Northeast Medical Practice, Pc NPPES

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

NORTHEAST MEDICAL PRACTICE, PC (NPI 1700571353) is a healthcare organization registered as an internal medicine in Great Neck, New York and active in the NPI registry since April 2023. The organization lists William A Berger, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1700571353
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNORTHEAST MEDICAL PRACTICE, PC
Location Address17 MAPLE DR STE 5Great Neck, NY 11021-2000
Mailing Address17 Maple Dr Ste 5Great Neck, NY 11021-2000 · (516) 604-3418
Organization SubpartNo
Authorized OfficialWilliam A BergerOwner/md · (516) 604-3418
Enumeration DateApril 10, 2023
Last NPPES UpdateApril 27, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1700571353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
17 MAPLE DR STE 5, Great Neck, NY 11021

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northeast Medical Practice, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Northeast Medical Practice, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1760914634
17 MAPLE DR STE 5
Great Neck, NY 11021
(516) 604-3418
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Northeast Medical Practice, PC's NPI number?

The NPI number for Northeast Medical Practice, PC is 1700571353. It was assigned to this organization in the NPPES registry on April 10, 2023.

Where is Northeast Medical Practice, PC located?

Northeast Medical Practice, PC is located at 17 Maple Dr Ste 5, Great Neck, NY 11021. The listed phone number is (516) 604-3418.

What is Northeast Medical Practice, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Northeast Medical Practice, PC enrolled in Medicare?

Yes. Northeast Medical Practice, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northeast Medical Practice, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Northeast Medical Practice, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Northeast Medical Practice, PC was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.