NPIMap

Individual provider Active NPI

Gene Y. Berkovich, M.D.

  • Diagnostic Radiology Physician
  • Garden City, NY
National Provider Identifier
1225054778
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
223547 Issued in NY
Practice address
990 Stewart Ave
Garden City, NY 11530-4822
Phone
(516) 222-2022
Fax
(516) 222-8475
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 223547 NY Primary

Addresses

Primary practice location

990 Stewart Ave
Garden City, NY 11530-4822

Mailing address

990 Stewart Ave
Garden City, NY 11530-4822
Phone (516) 222-2022

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gberkovich112699@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070927000000 NY Practitioner - Diagnostic Radiology 6002901774 Reassigns benefits to 5 organizations
I20220331000971 FL Practitioner - Diagnostic Radiology 6002901774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
FL 2
New York, NY 10006-1995
Phone (212) 263-9701

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

16244 S Military TRL
560 NYU Langone Cardiology Delray Bea
Delray Beach, FL 33484-6532
Phone (561) 495-7787

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223547NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2022 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince May 24, 2022 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Lake Success Medical Pet Scan Past Accepting new patients
CHS Physician Partners, P.C PastSince Feb 1, 2019 Accepting new patients

Locations

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

50 Water St
Fl 3
New York, NY 10004

227 Madison St
Fl 1
New York, NY 10002
Phone (212) 238-7815

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Organizations & group practices 9

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

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1225054778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STEWART AVE",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304822",
            "telephone_number": "516-222-2022",
            "fax_number": "516-222-8475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVICH",
        "first_name": "GENE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "223547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gberkovich112699@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "990 Stewart Ave",
            "city": "Garden City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115304822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.