Active NPI
Henry Berkowitz, MD
- Vascular Surgery Physician
- Villanova, PA
National Provider Identifier
1003088014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- MD007862E
- Practice address
- 745 Campwoods Rd
Villanova, PA 19085-1004 - Phone
- (610) 688-7662
- Fax
- (610) 688-7894
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | MD007862E | PA | Primary |
Addresses
Primary practice location
745 Campwoods Rd
Villanova, PA 19085-1004
Mailing address
745 Campwoods Rd
Villanova, PA 19085-1004
Phone (610) 688-7662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD007862E | PA | MD | Vascular Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1003088014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "745 CAMPWOODS RD",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190851004",
"telephone_number": "610-688-7662",
"fax_number": "610-688-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "745 CAMPWOODS RD",
"city": "VILLANOVA",
"state": "PA",
"postal_code": "190851004",
"telephone_number": "610-688-7662",
"fax_number": "610-688-7894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "HENRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "PA",
"license": "MD007862E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villanova, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.