Active NPI
Etana Berkowitz, CNM
- Advanced Practice Midwife
- Pomona, NY
National Provider Identifier
1487061560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- F001622
- Practice address
- 974 Route 45
Suite 1000
Pomona, NY 10970-3520 - Phone
- (845) 354-1113
- Fax
- (845) 354-1813
- NPI assigned
- Jul 21, 2014
- Last updated
- Aug 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | F001622 | NY | Primary |
Addresses
Primary practice location
974 Route 45
Suite 1000
Pomona, NY 10970-3520
Mailing address
974 Route 45
Suite 1000
Pomona, NY 10970-3520
Phone (845) 354-1113
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001622 | NY | MD | Art Therapist |
| F001622 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407801600000",
"number": "1487061560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 ROUTE 45",
"address_2": "SUITE 1000",
"city": "POMONA",
"state": "NY",
"postal_code": "109703520",
"telephone_number": "845-354-1113",
"fax_number": "845-354-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 ROUTE 45",
"address_2": "SUITE 1000",
"city": "POMONA",
"state": "NY",
"postal_code": "109703520",
"telephone_number": "845-354-1113",
"fax_number": "845-354-1813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOWITZ",
"first_name": "ETANA",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-21",
"last_updated": "2014-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F001622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.