J.C. Berardi Incorporated

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

35007 Issued in AZ

Legal business name

J.C. BERARDI INCORPORATED

Doing business as

Berardi Aesthetics and Plastic Surgery

Practice address

8900 E. Bahia Drive
Suite 110
Scottsdale, AZ 85260

Phone

(480) 502-4567

Fax

(480) 502-0353

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joseph Christopher Berardi, M.D.

Title

President

Phone

(480) 502-4567

Specialties & licenses 1

Addresses

Other names 1

• Berardi Aesthetics and Plastic Surgery Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1760589899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 E. BAHIA DRIVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-502-4567",
            "fax_number": "480-502-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E. BAHIA DRIVE",
            "address_2": "SUITE 110",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-502-4567",
            "fax_number": "480-502-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.C. BERARDI INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "BERARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-502-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "35007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berardi Aesthetics and Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berardi Aesthetics and Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Iyengar, M.D.
• Vivek Iyer, M.D.
• Ellie Izzo, PHD
• Izzy Medical Trans LLC
• J. Michael Foley D.D.S., P.C.
• Jamye Jack, PRSS
• Lauren Michelle Jack, LPC
• Alexis Lyn Jackson, RBT
• Amy Jackson, MA, LPC
• Desirae Jackson

• Plastic Surgery Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Plastic Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.