Glen P Berkowitz DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DIO1353600 Issued in NJ

Legal business name

GLEN P BERKOWITZ DDS PA

Practice address

33 Overlook Rd
Suite 402
Summit, NJ 07901

Phone

(908) 522-0077

Fax

(908) 522-3139

NPI assigned

Sep 5, 2006

Last updated

Mar 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glen Peter Berkowitz, DDSNPI 1215323415

Title

Owner Dentist

Phone

(908) 522-0071

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Glen Berkowitz, DDS

  • Dentist
  • Summit, NJ
  • NPI 1215323415
  NPD (past) Authorized official
• Blake Edward Bandeff, DMD

  • General Practice Dentistry
  • Summit, NJ
  • NPI 1770046047
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1699877951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 402",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-522-0077",
            "fax_number": "908-522-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 OVERLOOK RD",
            "address_2": "SUITE 402",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "07901",
            "telephone_number": "908-522-0077",
            "fax_number": "908-522-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN P BERKOWITZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "BERKOWITZ",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "908-522-0071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DIO1353600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Glasgall, L.C.S.W.
• Brian Glass, MSW, LCSW, LCADC
• Jonathan Evan Glatt, M.D.
• Julia Gleason
• Evan Michael Gleimer, D.O.
• Elizabeth Ann Gold, APN
• Elizabeth Harten Goldberg, PHD
• Julie Lynn Goldberg
• Goldman Clinical Services, LLC
• Michael Goldman, MSW, LCSW

• General Practice Dentistry in Summit, NJ
• Providers in Summit, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.