Active NPI
Irvin Robert Berkel, P.A.
- Medical Physician Assistant
- Westampton, NJ
National Provider Identifier
1104000918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 25MP00027500
- Practice address
- 650 Rancocas Rd
Westampton, NJ 08060-5613 - Phone
- (609) 267-7000
- Fax
- (609) 518-2190
- NPI assigned
- Dec 28, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 25MP00027500 | NJ | Primary |
Addresses
Primary practice location
650 Rancocas Rd
Westampton, NJ 08060-5613
Mailing address
650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1104000918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 RANCOCAS RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605613",
"telephone_number": "609-267-7000",
"fax_number": "609-518-2190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 RANCOCAS RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080605613",
"telephone_number": "609-267-7000",
"fax_number": "609-518-2190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKEL",
"first_name": "IRVIN",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-28",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00027500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.