Individual provider Active NPI

Dale Sue Berkley, DPM

  • Foot Surgery Podiatrist
  • Trenton, NJ
National Provider Identifier
1699759589
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
MD01573 Issued in NJ
Practice address
1330 Parkway Ave
Trenton, NJ 08628-3006
Phone
(609) 771-4222
Fax
(609) 771-6003
NPI assigned
Dec 4, 2005
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X MD01573 NJ Primary

Addresses

Primary practice location

1330 Parkway Ave
Trenton, NJ 08628-3006

Mailing address

1330 Parkway Ave Ste 6
Trenton, NJ 08628-3006
Phone (609) 771-4222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100903000346 NJ Practitioner - Podiatry 7810011418 Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD01573NJMDFoot Surgery Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1133654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1699759589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE STE 6",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-771-4222",
            "fax_number": "609-771-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-771-4222",
            "fax_number": "609-771-6003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKLEY",
        "first_name": "DALE",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-04",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NJ",
            "license": "MD01573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

Verify at the official NPI Registry.