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DR. JENNA BERSON MD
NPI 1871055988
Pediatrics - Pediatric Gastroenterology in Stony Brook, NY

Active since April 05, 2019PECOS EnrolledAccepts Medicare Assignment
101 NICOLLS RD, STONY BROOK, NY 11794(631) 444-5437 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 8, 2026, Apr 25, 2022, Apr 5, 2019 (3 updates tracked since 2019).

About Dr. Jenna Berson Md NPPES

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

DR. JENNA BERSON MD (NPI 1871055988) is an individual pediatric gastroenterology provider in Stony Brook, New York, licensed in New York (314957) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2019).

NPPES Registry Identity

NPI1871055988
Entity TypeIndividualFemale
Primary Taxonomy2080P0206X
Provider Legal NameDR. JENNA BERSONCredential: MD
Location Address101 NICOLLS RDStony Brook, NY 11794-0001
Mailing Address101 Nicolls RdStony Brook, NY 11794-0001
Phone(631) 444-5437
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2019
Enumeration DateApril 5, 2019
Last NPPES UpdateApril 8, 20263 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1871055988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in NY · 314957
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedPediatricsTaxonomy 208000000X · License 314957 (NY)
101 NICOLLS RD, Stony Brook, NY 11794
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jenna Berson Md 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 ID9032442652
PECOS Enrollment IDI20251229003038
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.

Medicare Billing Reassignment

Medicare enrollment records show Jenna Berson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stony Brook Children's Service, University Faculty Practice Corporatio
0.5 mi
Pediatrics
SUNY @ STONY BROOK, HSC, L11, RM 020
Stony Brook, NY 11794
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group
NPI 1083660575 (631) 444-1362

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

NARINDER SINGH M.D.
Internal Medicine
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4000
DR. KANHAI FARRAKHAN MD
Internal Medicine (Gastroenterology)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-0580
MS. HAYLEY ALEXANDRA MENA LMSW
Social Worker (Clinical)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (516) 761-4107
MRS. HEATHER MARIE CALIGIURI ANP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 631-4449
MR. SAM TARIK MENDOUNE I NP
Nurse Practitioner (Adult Health)
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 335-1657
ALEXIE LESSING
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-4686
DR. BENJAMIN RISMANY MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 444-1791
JULIA RYAN MD
Student in an Organized Health Care Education/Training Program
101 NICOLLS RD
STONY BROOK, NY 11794
Suffolk County (631) 689-8333

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 Jenna Berson's NPI number?

The NPI number for Jenna Berson is 1871055988. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Jenna Berson located?

Jenna Berson practices at 101 Nicolls Rd, Stony Brook, NY 11794. The listed phone number is (631) 444-5437.

What is Jenna Berson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Jenna Berson enrolled in Medicare?

Yes. Jenna Berson 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.

Which organization bills Medicare for Jenna Berson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Berson reassigns Medicare benefits to Stony Brook Children's Service, University Faculty Practice Corporatio (Stony Brook, NY). The 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 Jenna Berson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jenna Berson was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.