Organization Active NPI

Avrill Roy Berkman, M.D., P.a.

  • Orthopaedic Surgery Physician
  • West Caldwell, NJ
National Provider Identifier
1306168422
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA04147800 Issued in NJ
Legal business name
AVRILL ROY BERKMAN, M.D., P.A.
Practice address
1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130
Phone
(973) 228-3668
Fax
(973) 227-6061
NPI assigned
Feb 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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

Authorized official

Name
Mrs. Laureen Berkman
Title
Office Manager
Phone
(973) 228-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25MA04147800 NJ Primary

Addresses

Primary practice location

1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130

Mailing address

1140 Bloomfield Ave
Suite 106
West Caldwell, NJ 07006-7130
Phone (973) 228-3668

Other identifiers 1

IdentifierTypeStateIssuer
PS157OtherOXFORD INSURANCE COMPANY

National Provider Directory

National Provider Directory

Locations

1140 Bloomfield Ave
Ste 106
West Caldwell, NJ 07006
Phone (973) 228-3668

NPI Registry JSON

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1306168422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 106",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-3668",
            "fax_number": "973-227-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 BLOOMFIELD AVE",
            "address_2": "SUITE 106",
            "city": "WEST CALDWELL",
            "state": "NJ",
            "postal_code": "070067130",
            "telephone_number": "973-228-3668",
            "fax_number": "973-227-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVRILL ROY BERKMAN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "BERKMAN",
        "authorized_official_first_name": "LAUREEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-228-3668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA04147800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INSURANCE COMPANY",
            "identifier": "PS157",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Caldwell, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.