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

Benjamin Berson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891254728

Benjamin Berson is a Pulmonary Disease in Port Jefferson Station, New York. Qualified in 2019, 7 years ago. Practices with Stony Brook Internists University Faculty Practice Corporation, a 428-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

1500 Route 112 Ste B
Port Jefferson Station, NY 11776-8055
Phone: (631) 978-7633
Fax: (631) 621-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence 336636 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1891254728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025
Mailing address1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPULMONARY DISEASE
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Stony Brook Internists University Faculty Practice Corporation — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Port Jefferson Station