Stanley J Berke MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

151730 Issued in NY

Legal business name

STANLEY J BERKE MD PC

Practice address

901 Stewart Ave
Suite 255
Garden City, NY 11530-4893

Phone

(516) 794-2020

Fax

(516) 794-2029

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Stanley J Berke, M.D.NPI 1053315416

Title

Director

Phone

(516) 794-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stanley J Berke, M.D.

  • Ophthalmology Physician
  • Westbury, NY
  • NPI 1053315416
  Medicare reassignment NPD Authorized official
• Richard Wu, O.D.

  • Optometrist
  • Ridgewood, NY
  • NPI 1851654321
  NPD
• Julianna Sophie King, OD

  • Optometrist
  • North Babylon, NY
  • NPI 1174401103
  NPD (past)

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1104185289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 STEWART AVE",
            "address_2": "SUITE 306",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906696",
            "telephone_number": "516-794-2020",
            "fax_number": "516-794-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 STEWART AVE",
            "address_2": "SUITE 255",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304893",
            "telephone_number": "516-794-2020",
            "fax_number": "516-794-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY J BERKE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "BERKE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "516-794-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "151730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00795455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vilma Stade, LCSW
• Robert Stahl, DNP, AGNP-BC
• Sable Brianne Staller, DDS, MS
• Alyssa Michele Stancavage, LMSW
• Jessica Stankard
• Star Suites LLC
• Doris G. Starr, LCSW
• Steven A Stavrides, RPA-C
• Amanda Kathryn Stay, P.T.
• Rebecca A Steele, PH.D.

• Ophthalmology Physician in Garden City, NY
• Providers in Garden City, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.