Organization Active NPI

Ralph L. Berk, DDS, PC

  • Pediatric Dentistry
  • New City, NY
National Provider Identifier
1689716581
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
032270 Issued in NY
Legal business name
RALPH L. BERK, DDS, PC
Practice address
238 N Main St
New City, NY 10956-5302
Phone
(845) 634-8900
Fax
(845) 634-3978
NPI assigned
Feb 14, 2007
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. Ralph L Berk, DDS
Title
President
Phone
(845) 634-8900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 032270 NY Primary

Addresses

Primary practice location

238 N Main St
New City, NY 10956-5302

Mailing address

238 N Main St
New City, NY 10956-5302
Phone (845) 634-8900

Other identifiers 1

IdentifierTypeStateIssuer
032270OtherNYLICENSE

National Provider Directory

National Provider Directory

Locations

238 N Main St
New City, NY 10956
Phone (845) 634-8900

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689716581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-634-8900",
            "fax_number": "845-634-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 N MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565302",
            "telephone_number": "845-634-8900",
            "fax_number": "845-634-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALPH L. BERK, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-634-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "032270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "032270",
            "state": "NY"
        }
    ],
    "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 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.