Active NPI
Advanced Orthopaedics PLLC
- Adult Reconstructive Orthopaedic Surgery Physician
- Kew Gardens, NY
National Provider Identifier
1104992593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- 1523851
- Legal business name
- ADVANCED ORTHOPAEDICS PLLC
- Practice address
- 8002 Kew Gardens Rd
3Rd Floor
Kew Gardens, NY 11415 - Phone
- (718) 575-5454
- Fax
- (718) 575-0098
- NPI assigned
- Nov 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dov Jay Berkowitz, MD
- Title
- Owner
- Phone
- (718) 575-5454
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1523851 | NY | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 1523851 | NY | Primary |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 1523851 | NY |
Addresses
Primary practice location
8002 Kew Gardens Rd
3Rd Floor
Kew Gardens, NY 11415
Mailing address
8002 Kew Gardens Rd
3Rd Floor
Kew Gardens, NY 11415
Phone (718) 575-5454
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2C1564 | Other | NY | HEALTHNET |
| 00826480 | Medicaid | NY | |
| DS437 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryLocations
8002 Kew Gardens Rd
Lbby 3
Kew Gardens, NY 11415
Phone (718) 575-5454
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104992593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8002 KEW GARDENS RD",
"address_2": "3RD FLOOR",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "11415",
"telephone_number": "718-575-5454",
"fax_number": "718-575-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8002 KEW GARDENS RD",
"address_2": "3RD FLOOR",
"city": "KEW GARDENS",
"state": "NY",
"postal_code": "11415",
"telephone_number": "718-575-5454",
"fax_number": "718-575-0098"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED ORTHOPAEDICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-28",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BERKOWITZ",
"authorized_official_first_name": "DOV",
"authorized_official_middle_name": "JAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-575-5454",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "1523851",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NY",
"license": "1523851",
"primary": true
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NY",
"license": "1523851",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2C1564",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00826480",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "DS437",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kew Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.