Individual provider Active NPI

Ezra A Berkowitz, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Atlantis, FL
National Provider Identifier
1104009067
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
License
ME106116 Issued in FL
Practice address
180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone
(561) 967-6500
Fax
(561) 472-0467
NPI assigned
Dec 13, 2007
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery Physician 207XP3100X ME106116 FL Primary

Addresses

Primary practice location

180 JFK Dr Ste 100
Atlantis, FL 33462-6641

Mailing address

180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Other practice location 1

10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784
Phone (561) 697-6500

Other practice location 2

1221 S State Road 7 Ste 200
Wellington, FL 33414-6212
Phone (561) 697-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100917000552 FL Practitioner - Orthopedic Surgery 3274658927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106116FLMDPediatric Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Sep 1, 2011 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Sep 1, 2011 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients
Orthopedic Center of Palm Beach County, Inc. Past Accepting new patients

Locations

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

10275 Hagen Ranch Rd
Ste 100
Boynton Beach, FL 33437
Phone (561) 300-1400

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone (561) 697-6500

4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 406-2504

1221 S State Road 7
Ste 200
West Palm Beach, FL 33414
Phone (561) 697-6500

Interoperability endpoints

  • Direct secure messaging: ezra.berkowitz.1@26475.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1104009067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-433-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500",
            "fax_number": "561-472-0467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10275 Hagen Ranch Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373784",
            "country_code": "US",
            "telephone_number": "561-697-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1221 S State Road 7 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146212",
            "country_code": "US",
            "telephone_number": "561-697-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "EZRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME106116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.