Berkeley Medical Associate, PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

123886 Issued in NY

Legal business name

BERKELEY MEDICAL ASSOCIATE, PC

Practice address

207 Berkeley PL
Brooklyn, NY 11217-3801

Phone

(347) 529-6322

Fax

(718) 638-4033

NPI assigned

Dec 9, 2011

Last updated

Dec 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jagdish K Gupta, M.D.NPI 1083788400

Title

Owner

Phone

(917) 941-2886

Specialties & licenses 1

Addresses

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.

• Jagdish K. Gupta, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1083788400
  NPD (past) Authorized official

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1598033177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117620270",
            "telephone_number": "631-264-2035",
            "fax_number": "631-264-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BERKELEY PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173801",
            "telephone_number": "347-529-6322",
            "fax_number": "718-638-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY MEDICAL ASSOCIATE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "JAGDISH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-941-2886",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "123886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Berk, MD
• Deborah Berk
• Charles Berke, DPM
• Elizabeth Berke, MSED
• Berkeley Drugs Inc. (Berkeley Drugs)
• Sterling C Berkeley, LCSW
• Amber Berkins, MHC - LP
• Amy Beth Berkman, O.T.R.
• Ruxandra Berko, PT
• Miriam Berkovic

• Anesthesiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.