Organization Active NPI

Michael J. Bercik, M.D.,P.a.

  • Orthopaedic Surgery Physician
  • Elizabeth, NJ
National Provider Identifier
1528237286
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA03426400 Issued in NJ
Legal business name
MICHAEL J. BERCIK, M.D.,P.A.
Practice address
711 Westminster Ave
Elizabeth, NJ 07208-2210
Phone
(908) 353-0353
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ivonne Dellipaoli
Title
Office Manager
Phone
(908) 353-0353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 25MA03426400 NJ Primary

Addresses

Primary practice location

711 Westminster Ave
Elizabeth, NJ 07208-2210

Mailing address

711 Westminster Ave
Elizabeth, NJ 07208-2210
Phone (908) 353-0353

National Provider Directory

National Provider Directory

Locations

711 Westminster Ave
Elizabeth, NJ 07208
Phone (908) 353-0353

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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1528237286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 WESTMINSTER AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082210",
            "telephone_number": "908-353-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 WESTMINSTER AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072082210",
            "telephone_number": "908-353-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J. BERCIK, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "DELLIPAOLI",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-353-0353"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA03426400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.