Individual provider Active NPI

Danielle Elizabeth Cardona, P.A.

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1750304820
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02472 Issued in NC
Practice address
2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone
(919) 791-2040
NPI assigned
Jul 26, 2006
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-02472 NC Primary
Medical Physician Assistant 363AM0700X 00102472 NC
Medical Physician Assistant 363AM0700X 25MP00030400 NJ

Addresses

Primary practice location

2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673

Mailing address

2417 Atrium Dr Ste 150
Raleigh, NC 27607-6673
Phone (919) 791-2040

Other practice location 1

90 Southside Ave Ste 350
Asheville, NC 28801-4184
Phone (828) 277-4810

Other identifiers 1

IdentifierTypeStateIssuer
1750304820MedicaidNC

Other names 1

  • Danielle Elizabeth Berkowitz Former name

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-02472NCMDPhysician Assistant
00102472NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Rehabilitation Medicine, PC Past Accepting new patients
Post-Acute Medical Associates, P.C. Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1750304820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR STE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "919-791-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ATRIUM DR STE 150",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076673",
            "telephone_number": "919-791-2040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Southside Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014184",
            "country_code": "US",
            "telephone_number": "828-277-4810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02472",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "00102472",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00030400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750304820",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "BERKOWITZ",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.