Ruxandra Berko PT PC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

018347-1 Issued in NY

Legal business name

RUXANDRA BERKO PT PC

Practice address

189 Amos Ave
Oceanside, NY 11572-2302

Phone

(516) 705-8988

Fax

(516) 705-8988

NPI assigned

Nov 2, 2008

Organization subpart

No

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

Authorized official

Name

Ruxandra Berko, PHYDICAL THERAPIST

Title

President

Phone

(917) 650-4194

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225584000000",
    "number": "1407009574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 AMOS AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722302",
            "telephone_number": "516-705-8988",
            "fax_number": "516-705-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 AMOS AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722302",
            "telephone_number": "516-705-8988",
            "fax_number": "516-705-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUXANDRA BERKO PT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-02",
        "last_updated": "2008-11-02",
        "status": "A",
        "authorized_official_last_name": "BERKO",
        "authorized_official_first_name": "RUXANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-650-4194",
        "authorized_official_credential": "PHYDICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "018347-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Early Intervention Provider Agency in Oceanside, NY
• Providers in Oceanside, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2008; 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.