Organization Active NPI

Spring Valley Podiatry PLLC

  • Primary Podiatric Medicine Podiatrist
  • Pomona, NY
National Provider Identifier
1043975790
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SPRING VALLEY PODIATRY PLLC
Practice address
978 Route 45 Ste 108
Pomona, NY 10970-3512
Phone
(845) 356-1534
NPI assigned
Nov 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Joseph Berkovic, DPMNPI 1083023154
Title
Podiatrist
Phone
(347) 777-7612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

978 Route 45 Ste 108
Pomona, NY 10970-3512

Mailing address

6 Pleasant Ridge Rd
Spring Valley, NY 10977-1609
Phone (347) 777-7612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220318001685 NY Part B Supplier - Clinic/Group Practice 1951796416 Receives reassigned benefits from 1 practitioner
Practice locations: Pomona, NY; Spring Valley, NY

National Provider Directory

National Provider Directory

Locations

978 Route 45
Ste 108
Pomona, NY 10970
Phone (845) 356-1534

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1043975790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PLEASANT RIDGE RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771609",
            "telephone_number": "347-777-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 ROUTE 45 STE 108",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703512",
            "telephone_number": "845-356-1534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING VALLEY PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-07",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BERKOVIC",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "347-777-7612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.

Verify at the official NPI Registry.