| Bruce Edward Gerberg, MD | |
|
41 Fairview St, Huntington, NY 11743-3552 | |
| (631) 427-0530 | |
| (631) 427-0147 |
| Full Name | Bruce Edward Gerberg |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 41 Fairview St, Huntington, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215980487 | NPI | - | NPPES |
| AA70464 | Other | MDNY | |
| 2C1647 | Other | HEALTHNET GUARDIAN | |
| 2008776 | Other | AETNA HMO | |
| 5220605 | Other | AETNA PPO | |
| P1021651 | Other | OXFORD | |
| 01861034 | Medicaid | NY | |
| 2699380 | Other | GHI PPO | |
| 549131 | Other | BC | |
| 2639504006 | Other | CIGNA | |
| 86113P | Other | VYTRA | |
| 1829012 | Other | UNITED | |
| 208752 | Other | HIP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 208752 (New York) | Primary |
| Entity Name | Huntington Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386619385 PECOS PAC ID: 1850296427 Enrollment ID: O20040426001035 |
| Entity Name | New York University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Bruce Edward Gerberg, MD 41 Fairview St, Huntington, NY 11743-3552 Ph: (631) 427-0530 | Bruce Edward Gerberg, MD 41 Fairview St, Huntington, NY 11743-3552 Ph: (631) 427-0530 |
Eileen P Sheehy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 164 East Main Street, Huntington Pediatrics Pc, Huntington, NY 11743 Phone: 631-427-0530 Fax: 631-427-0530 | |
Nina A. Tomei, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 775 Park Avenue, Suite 125, Huntington, NY 11743 Phone: 631-659-4000 Fax: 631-659-4048 | |
Kathrynne F. Yland, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Dr. Anne E. Conrad, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Michael B. Grosso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 241 E Main St, Huntington, NY 11743 Phone: 631-367-5300 Fax: 631-351-4561 | |
Dr. Beena Mathai-jose, Pediatrics Medicare: Medicare Enrolled Practice Location: Optum Huntington Pediatrics, 205 East Main Street, Ste 2-8, Huntington, NY 11743 Phone: 631-424-1741 |