Organization Active NPI

Center for Aesthetic and Intergrative Medicine

  • Family Medicine Physician
  • Manasquan, NJ
National Provider Identifier
1477620136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTER FOR AESTHETIC AND INTERGRATIVE MEDICINE
Practice address
1707 Atlantic Ave Blvd
Manasquan, NJ 08736
Phone
(732) 292-2101
Fax
(732) 292-2105
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Vladimir Berkovich, MD
Title
Doctor
Phone
(732) 292-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1707 Atlantic Ave Blvd
Manasquan, NJ 08736

Mailing address

946 Lakehurst Ave
Jackson, NJ 08527-0248
Phone (732) 323-8466

National Provider Directory

National Provider Directory

Locations

1707 Atlantic Ave
Manasquan, NJ 08736
Phone (732) 292-2101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477620136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 LAKEHURST AVE",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085270248",
            "telephone_number": "732-323-8466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 ATLANTIC AVE BLVD",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-292-2101",
            "fax_number": "732-292-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AESTHETIC AND INTERGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "732-292-2101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.