Organization Active NPI

Oksana Berkovich Medical PC

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1740241504
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
OKSANA BERKOVICH MEDICAL PC
Practice address
2190 Boston Rd Apt 1N
Bronx, NY 10462-1217
Phone
(718) 863-8663
Fax
(718) 863-8261
NPI assigned
Mar 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Oksana BerkovichNPI 1245291269
Title
Director
Phone
(718) 863-8663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2190 Boston Rd Apt 1N
Bronx, NY 10462-1217

Mailing address

31 Amanda Ave
Oksana Berkovich Medical PC
New Rochelle, NY 10804
Phone (718) 863-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060214000646 NY Part B Supplier - Clinic/Group Practice 6103831029 Receives reassigned benefits from 3 practitioners
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1047697Oksana Berkovich Medical PC2190 Boston Road, Suite 1N Suite 1M, Bronx, NY 10462Provider-performed microscopyNov 9, 2027

National Provider Directory

National Provider Directory

Locations

2190 Boston Rd
Apt 1N
Bronx, NY 10462
Phone (718) 863-8663

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1740241504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 AMANDA AVE",
            "address_2": "OKSANA BERKOVICH MEDICAL PC",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "10804",
            "telephone_number": "718-863-8663",
            "fax_number": "718-863-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 BOSTON RD APT 1N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104621217",
            "telephone_number": "718-863-8663",
            "fax_number": "718-863-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKSANA BERKOVICH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "BERKOVICH",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-863-8663"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.