Organization Active NPI

Chestnut Ridge Pediatric Associates

  • Pediatrics Physician
  • Woodcliff Lake, NJ
National Provider Identifier
1568400141
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHESTNUT RIDGE PEDIATRIC ASSOCIATES
Practice address
595 Chestnut Ridge Rd
Suite 4
Woodcliff Lake, NJ 07677-7663
Phone
(201) 391-2020
Fax
(201) 391-0265
NPI assigned
Jun 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Dr. Irwin Berkowitz, MDNPI 1538106158
Title
President
Phone
(201) 391-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

595 Chestnut Ridge Rd
Suite 4
Woodcliff Lake, NJ 07677-7663

Mailing address

595 Chestnut Ridge Rd
Suite 4
Woodcliff Lake, NJ 07677-7663
Phone (201) 391-2020

National Provider Directory

National Provider Directory

Locations

595 Chestnut Ridge Rd
Ste 4
Woodcliff Lake, NJ 07677
Phone (201) 391-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568400141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD",
            "address_2": "SUITE 4",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777663",
            "telephone_number": "201-391-2020",
            "fax_number": "201-391-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 CHESTNUT RIDGE RD",
            "address_2": "SUITE 4",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777663",
            "telephone_number": "201-391-2020",
            "fax_number": "201-391-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTNUT RIDGE PEDIATRIC ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-391-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, 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.