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

Michael Ezra Berry, MD

Individual provider Dermatology Physician · NPI 1962692152

Michael Ezra Berry, MD is a Dermatology in Elmhurst, New York. Graduated from State University of New York Downstate Medical Center in 2000, 26 years ago. Practices with Ahava Medical and Rehabilitation Center, LLC, a 150-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
26
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4037 74th St
Elmhurst, NY 11373-5603
Phone: (718) 651-7000
Fax: (718) 606-8966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 245263 (NY)

Record details

NPI number1962692152
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 25, 2007
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020
Mailing address4037 74th St, Elmhurst, NY 11373-5603

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2000 (26 years in practice)
Group practice Ahava Medical And Rehabilitation Center, Llc — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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