Organization Active NPI

Dr. Gordon J. Berg & Dr. Kenneth Moskowitz

  • Foot Surgery Podiatrist
  • Bayside, NY
National Provider Identifier
1144434879
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
N002482 Issued in NY
Legal business name
DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ
Practice address
21409 73Rd Ave
Bayside, NY 11364-2947
Phone
(718) 224-9000
Fax
(718) 224-1348
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Gordon Jay Berg, DPMNPI 1538135462
Title
Owner
Phone
(718) 224-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X N002482 NY Primary

Addresses

Primary practice location

21409 73Rd Ave
Bayside, NY 11364-2947

Mailing address

21409 73Rd Ave
Bayside, NY 11364-2947
Phone (718) 224-9000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1144434879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21409 73RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642947",
            "telephone_number": "718-224-9000",
            "fax_number": "718-224-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21409 73RD AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113642947",
            "telephone_number": "718-224-9000",
            "fax_number": "718-224-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-224-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "N002482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.