Provider Demographics
NPI:1710053145
Name:BERGER, AARON H (MD)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:H
Last Name:BERGER
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2270 KIMBALL ST STE 210
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5158
Mailing Address - Country:US
Mailing Address - Phone:718-692-2700
Mailing Address - Fax:718-758-0909
Practice Address - Street 1:2275 COLEMAN ST STE 105
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5126
Practice Address - Country:US
Practice Address - Phone:718-692-2700
Practice Address - Fax:718-692-3583
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204601207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01937457Medicaid
NYG63257Medicare UPIN
NY01937457Medicaid