Jay Paul Berke, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

35040523 Issued in OH

Practice address

4105 Holiday St NW
Canton, OH 44718-2531

Phone

(330) 494-2097

Fax

(330) 494-9750

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Ohio Hospital-Based Physician Corporation

  • Specialist
  • North Canton, OH
  • NPI 1205864337
  NPD (past)
• Ohio Hospital-Based Physician Corporation

  • Specialist
  • Canton, OH
  • NPI 1700818986
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1598799280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 HOLIDAY ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182531",
            "telephone_number": "330-494-2097",
            "fax_number": "330-494-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKE",
        "first_name": "JAY",
        "middle_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OH",
            "license": "35040523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0338996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yevgeniy Berenshteyn, PT, DPT
• Melissa Berg, FNP-BC
• Bernhard Berger, MD
• April Bergert
• Jacqueline Lynn Bergquist
• Deborah A Berkshire, CRNA
• Jillian Berkshire, NP-C
• Bernard J. Johnson DDS LLC
• Tresa Ann Berndt, NP-C
• Catalina Martha Bernier, PA-C

• Neurology Physician in Canton, OH
• Providers in Canton, OH by specialty
• Neurology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.