Joseph Beren, P.A

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00320800 Issued in NJ

Practice address

150 James St Ste 204
Lakewood, NJ 08701-4101

Phone

(732) 363-4003

NPI assigned

Oct 17, 2013

Last updated

Oct 17, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1225466824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JAMES ST STE 204",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-363-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 JAMES ST STE 204",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014101",
            "telephone_number": "732-363-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEREN",
        "first_name": "JOSEPH",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-17",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00320800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Bennici, OTR/L
• Shoshana Benoliel
• Ira Benstein, MS, ED
• Rachel Benstein
• Aliza Beren
• Sarah Berg, OTR/L
• Susan Bergen, LCSW
• Batsheva Berger, MSW LCSW
• Debra Berger, MS, CCC-SLP
• Israel Y Berger

• Medical Physician Assistant in Lakewood, NJ
• Providers in Lakewood, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; 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.