Active NPI
Ellen Kaster-Berk, PHARM.D., CASAC
- Pharmacist
- Bronx, NY
National Provider Identifier
1679893937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 040311
- Practice address
- 3584 Jerome Ave
Bronx, NY 10467-1006 - Phone
- (718) 653-1537
- Fax
- (718) 882-1426
- NPI assigned
- Jun 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 31857 | NY | |
| Pharmacist | 183500000X | 040311 | NY | Primary |
Addresses
Primary practice location
3584 Jerome Ave
Bronx, NY 10467-1006
Mailing address
3584 Jerome Ave
Bronx, NY 10467-1006
Phone (718) 653-1537
Other practice location 1
3584 Jerome Ave
Bronx, NY 10467-1006
Phone (718) 653-1537
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | NY | |
| 101YA0400X | Other | NY | ADDICTION COUNSELOR |
| 01420795 | Medicaid | NY |
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040311 | NY | MD | Pharmacist |
| 31857 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1679893937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3584 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671006",
"telephone_number": "718-653-1537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3584 JEROME AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104671006",
"telephone_number": "718-653-1537",
"fax_number": "718-882-1426"
}
],
"practiceLocations": [
{
"address_1": "3584 Jerome Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104671006",
"country_code": "US",
"telephone_number": "718-653-1537",
"fax_number": "718-882-1426",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASTER-BERK",
"first_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "PHARM.D., CASAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-09",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "31857",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "040311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400X",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADDICTION COUNSELOR",
"identifier": "101YA0400X",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01420795",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.