Individual provider Active NPI

Charlene Sue Berkman, DMD

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1326045683
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33634 Issued in NY
Practice address
11109 76TH Rd
Ste A5
Forest Hills, NY 11375-6476
Phone
(718) 268-1945
Fax
(718) 544-6550
NPI assigned
Jul 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 33634 NY Primary

Addresses

Primary practice location

11109 76TH Rd
Ste A5
Forest Hills, NY 11375-6476

Mailing address

11109 76TH Rd
Ste A5
Forest Hills, NY 11375-6476
Phone (718) 268-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 28, 2015 through Nov 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
33634NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326045683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 76TH RD",
            "address_2": "STE A5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756476",
            "telephone_number": "718-268-1945",
            "fax_number": "718-544-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 76TH RD",
            "address_2": "STE A5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756476",
            "telephone_number": "718-268-1945",
            "fax_number": "718-544-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKMAN",
        "first_name": "CHARLENE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "33634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.