Physician Compare National (NPI:1013283514)

HEALTHCARE PROVIDER: DANA RACHEL BERG M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1013283514
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597008607
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190513001551
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERG
	Individual professional last name
Provider First Name	DANA
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
	Individual professional's medical school
Graduation Year	2012
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Organization Legal Name	WESTCHESTER MEDICAL CENTER ADVANCED PHYSICIAN SERVICES PC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3173660776
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	495
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	100 WOODS RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	VALHALA
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	105951530
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330234
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	WESTCHESTER MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y