Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Costa Berkshire Group LLC

Organization Internal Medicine Physician · NPI 1982039129

Costa Berkshire Group LLC is an Internal Medicine Physician in New York, New York. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

111 Broadway Ste 1302
New York, NY 10006-1901
Phone: (212) 777-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1982039129
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Loper — Manager · (212) 777-1510
Other names Douglas Bailyn Mbr
NPI enumeratedSeptember 6, 2013
Last updated in NPPESSeptember 6, 2013
Mailing address111 Broadway, Suite 1302, New York, NY 10006-1901

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