What is Shannon Berg's NPI number?

Shannon Berg's National Provider Identifier (NPI) is 1659237048, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Berg's specialty?

Shannon Berg is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Shannon Berg located?

Shannon Berg's practice location on file with NPPES is 299 Hallock Ave, Port Jefferson Station, NY 11776-1217.

What is Shannon Berg's phone number?

The practice phone number listed in the NPPES registry for Shannon Berg is (631) 473-4284.

Is Shannon Berg's NPI active?

Yes — Shannon Berg's NPI (1659237048) is active in the NPPES registry as of the last update on 2025-12-29.

IndividualActive

Shannon Berg

NPI 1659237048 · Specialist · Port Jefferson Station, NY

Shannon Berg is a Specialist provider in Port Jefferson Station, NY (NPI 1659237048).

Provider details

NPI number: 1659237048
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: Yes
License: 1969516251 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 1969516251 (NY)
Other Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

299 Hallock Ave

Port Jefferson Station, NY 11776-1217

Phone: (631) 473-4284

Street-level locationGet directions

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Mailing address