Individual provider Active NPI

Asher Berko

  • Clinical Medical Laboratory
  • Montvale, NJ
National Provider Identifier
1174243216
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
31D2263993 Issued in NJ
Practice address
50 Chestnut Ridge Rd Ste 221
Montvale, NJ 07645-1814
Phone
(845) 213-7423
NPI assigned
Aug 30, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 31D2263993 NJ Primary

Addresses

Primary practice location

50 Chestnut Ridge Rd Ste 221
Montvale, NJ 07645-1814

Mailing address

50 Chestnut Ridge Rd Ste 221
Montvale, NJ 07645-1814
Phone (845) 213-7423

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gezunt Diagnostics LLC Clinical Medical Laboratory CurrentSince Sep 4, 2022 Accepting new patients

Locations

50 Chestnut Ridge Rd
Ste 221
Montvale, NJ 07645
Phone (201) 354-1355

Organizations & group practices 1

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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1174243216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 221",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451814",
            "telephone_number": "845-213-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHESTNUT RIDGE RD STE 221",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451814",
            "telephone_number": "845-213-7423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKO",
        "first_name": "ASHER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "31D2263993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montvale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.