Active NPI
Jersey Shore Brachytherapy P a
- Radiation Oncology Physician
- Lakewood, NJ
National Provider Identifier
1013044585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- JERSEY SHORE BRACHYTHERAPY P A
- Practice address
- 900 Route 70 West
Lakewood, NJ 08701-5940 - Phone
- (732) 739-6476
- Fax
- (732) 739-2056
- NPI assigned
- Feb 28, 2007
- Organization subpart
- Yes
- Parent organization
- JERSEY SHORE BRACHYTHERAPY PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stewart A Berkowitz, MD
- Title
- President
- Phone
- (732) 739-6476
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
900 Route 70 West
Lakewood, NJ 08701-5940
Mailing address
6 Regal CT
Toms River, NJ 08753-5642
Phone (732) 739-6476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040625000882 | NJ | Part B Supplier - Clinic/Group Practice | 2466438908 |
Receives reassigned benefits from 4 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lakewood, NJ |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Radiation Oncology Physician
- Lakewood, NJ
- NPI 1407899222
O20040625000882
National Provider Directory
National Provider Directory- Part of
- Jersey Shore Brachytherapy PA
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
- Radiation Oncology Physician
- Lakewood, NJ
- NPI 1518900240
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191196800000",
"number": "1013044585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 REGAL CT",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087535642",
"telephone_number": "732-739-6476",
"fax_number": "732-739-2056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 ROUTE 70 WEST",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087015940",
"telephone_number": "732-739-6476",
"fax_number": "732-739-2056"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERSEY SHORE BRACHYTHERAPY P A",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JERSEY SHORE BRACHYTHERAPY PA",
"enumeration_date": "2007-02-28",
"last_updated": "2007-10-01",
"status": "A",
"authorized_official_last_name": "BERKOWITZ",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "732-739-6476",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
- Jocelyn Jeffries, D.D.S
- Jem HC LLC
- Regina Jenkins
- Jersey Association for Autistic Children- Brainbuilders
- Jersey Medical Logistics Limited Liability Company
- Jersey Shore Brachytherapy P a
- Jersey Shore Medical and Pediatrics Associates,LLC
- Jersey Shore Teletherapy LLC
- Jersey Shore University Medical Center
- Jewish Federation of Ocean County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.