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

Kenneth M Berry

Individual provider Emergency Medicine Physician · NPI 1316950942

Kenneth M Berry is an Emergency Medicine in Elmhurst, New York. Qualified in 1983, 43 years ago. Practices with Emergency Medicine Services of Fl LLC, a 665-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
43
Licensed in
NY, PA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

9002 Queens Blvd
Elmhurst, NY 11373-4941
Phone: (718) 558-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD039776L (PA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 168383 (NY)
Family Medicine Physician Taxonomy 207Q00000X · Licence 168383 (NY)

Record details

NPI number1316950942
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2006
Last updated in NPPESNovember 15, 2011
Mailing address407 Airport Executive Park, Nanuet, NY 10954-5288

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Emergency Medicine Services Of Fl Llc — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Elmhurst