Individual provider Active NPI

Avrill Roy Berkman, M.D.

  • Orthopaedic Surgery Physician
  • West Caldwell, NJ
National Provider Identifier
1083700124
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA04147800 Issued in NJ
Practice address
1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130
Phone
(973) 228-3668
Fax
(973) 227-6061
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA04147800 NJ Primary

Addresses

Primary practice location

1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130

Mailing address

1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130
Phone (973) 228-3668

Other identifiers 4

IdentifierTypeStateIssuer
1655001MedicaidNJ
PS157OtherOXFORD HEALTH PLAN
57K722OtherEMPIRE HEALTH PLAN
OK3089OtherHEALTHNET HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000171 NJ Practitioner - Orthopedic Surgery 0648314849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Associates of New Jersey Inc Past Accepting new patients
University Physician Associates of New Jersey Inc Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 2

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1083700124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 106",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-3668",
            "fax_number": "973-227-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 106",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-3668",
            "fax_number": "973-227-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKMAN",
        "first_name": "AVRILL",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04147800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1655001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLAN",
            "identifier": "PS157",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE HEALTH PLAN",
            "identifier": "57K722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET HEALTH PLAN",
            "identifier": "OK3089",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

Verify at the official NPI Registry.