Individual provider Active NPI

Agnesa Berisha

  • Physician Assistant
  • New City, NY
National Provider Identifier
1598697765
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
035734 Issued in NY
Practice address
200 E Eckerson Rd Ste 1-3
New City, NY 10956-7159
Phone
(845) 352-0500
NPI assigned
Jun 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 035734 NY Primary

Addresses

Primary practice location

200 E Eckerson Rd Ste 1-3
New City, NY 10956-7159

Mailing address

200 E Eckerson Rd Ste 1-3
New City, NY 10956-7159
Phone (845) 352-0500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
035734NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neal D. Goldberg, MD PC PastSince Apr 14, 2006 Accepting new patients
Central Avenue Office-Based Surgery, P.C. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1780358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1598697765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD STE 1-3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567159",
            "telephone_number": "845-352-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E ECKERSON RD STE 1-3",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567159",
            "telephone_number": "845-352-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERISHA",
        "first_name": "AGNESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-02",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "035734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.