Active NPI
Samantha Berk, PA-C
- Physician Assistant
- New York, NY
National Provider Identifier
1053734798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 017353
- Practice address
- 37 Union SQ W
New York, NY 10003-3217 - Phone
- (212) 750-1110
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 017353 | NY | Primary |
Addresses
Primary practice location
37 Union SQ W
New York, NY 10003-3217
Mailing address
37 Union SQ W
New York, NY 10003-3217
Phone (212) 750-1110
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- samantha.berk.p1@direct.plannedparenthoodla.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482364800000",
"number": "1053734798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 UNION SQ W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033217",
"telephone_number": "212-750-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 UNION SQ W",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033217",
"telephone_number": "212-750-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERK",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2016-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "017353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.