Individual provider Active NPI

Shmuel David Berkowitz, PA-C

  • Physician Assistant
  • Brooklyn, NY
National Provider Identifier
1073868337
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015796 Issued in NY
Practice address
288 Flatbush Ave
Brooklyn, NY 11217-2812
Phone
(718) 656-1290
NPI assigned
Jul 23, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015796 NY Primary

Addresses

Primary practice location

288 Flatbush Ave
Brooklyn, NY 11217-2812

Mailing address

861 E 15TH St
Brooklyn, NY 11230-3047
Phone (347) 683-6024

Other practice location 1

600 E 233rd St
Bronx, NY 10466-2604
Phone (718) 920-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121204000468 NY Practitioner - Physician Assistant 9436301199 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

1305 Kings Hwy
Brooklyn, NY 11229-1903
Phone (718) 280-5172

2125 Nostrand Ave
Brooklyn, NY 11210-3001
Phone (718) 489-3557

336 E 86TH St
New York, NY 10028-4615
Phone (212) 772-3627

874 Flatbush Ave
Brooklyn, NY 11226-3102
Phone (718) 571-9372

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Aug 23, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Sep 24, 2012 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Aug 23, 2015 Accepting new patients
Montefiore Medical Center CurrentSince Sep 24, 2012 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

111 E 210th St
Bronx, NY 10467

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

288 Flatbush Ave
Brooklyn, NY 11217
Phone (718) 656-1290

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Rxr Plz
Uniondale, NY 11556
Phone (516) 453-0435

Interoperability endpoints

  • Direct secure messaging: shmuel.berkowitz.1@2983.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JJDJAA/Endpoint/JJDJAA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1073868337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "861 E 15TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303047",
            "telephone_number": "347-683-6024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 FLATBUSH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112172812",
            "telephone_number": "718-656-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 E 233rd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104662604",
            "country_code": "US",
            "telephone_number": "718-920-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "SHMUEL",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-23",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.