AJAY V. BERDIA M.D.
NPI 1801891908
Specialist in Port Jefferson, NY

Q: What is Ajay Berdia's NPI number?

The NPI number for Ajay Berdia is 1801891908. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Q: What is Ajay Berdia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Ajay Berdia was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 15, 2005PECOS EnrolledAccepts Medicare Assignment

640 BELLE TERRE ROAD, BUILDING H, PORT JEFFERSON, NY 11777(631) 474-1112(631) 474-1112 Get Directions Write a Review

NPPES record last updated: June 6, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ajay V. Berdia M.d. NPPES

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

AJAY V. BERDIA M.D. (NPI 1801891908) is an individual specialist in Port Jefferson, New York, licensed in New York (196859) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1801891908

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameAJAY V. BERDIACredential: M.D.

Location Address640 BELLE TERRE ROAD, BUILDING HPort Jefferson, NY 11777-0001

Mailing Address200 Belle Terre RdPort Jefferson, NY 11777-1928 · (631) 474-6300 · Fax (631) 474-6161

Phone(631) 474-1112

Fax(631) 474-1112

Sole ProprietorYes

Medical School CMSOtherGraduated 1985

Enumeration DateJune 15, 2005

Last NPPES UpdateJune 6, 2014

✔ NPI 1801891908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NY · 196859

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

640 BELLE TERRE ROAD, BUILDING H, Port Jefferson, NY 11777

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Other Identifiers 11

Other810620NY · First Health Insurance

Other48613NY · Vytra Health Plans

Medicare ID-Type Unspecified60K602NY

Medicare UPING02015NY

Medicaid01524845NY

Other3099464NY · Ghi Health Insurance

Other130019918NY · Rail Road Medicare

Other2190491NY · Aetna Health Plans

Other087312NY · Blue Cross Blue Shield

Other196859NY · Hip Health Plans

OtherP560221NY · Oxford Health Plans

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ajay V. Berdia M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133022619

PECOS Enrollment IDI20050519000625

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

232 services111 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services35 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330185

Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County

Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330246

Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County

Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

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 Ajay Berdia's NPI number?

The NPI number for Ajay Berdia is 1801891908. It was assigned to this individual provider in the NPPES registry on June 15, 2005.

Where is Ajay Berdia located?

Ajay Berdia practices at 640 Belle Terre Road, Building H, Port Jefferson, NY 11777. The listed phone number is (631) 474-1112.

What is Ajay Berdia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ajay Berdia enrolled in Medicare?

Yes. Ajay Berdia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ajay Berdia affiliated with any hospitals?

According to CMS data, Ajay Berdia is affiliated with John T Mather Memorial Hospital Of Port Jefferson, St Charles Hospital, Good Samaritan Hospital Medical Center and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Berdia was last updated on June 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.