Individual provider Active NPI

Sarah Berkowitz Dienstag, DMD

  • General Practice Dentistry
  • Valley Stream, NY
National Provider Identifier
1881911816
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
055529 Issued in NY
Practice address
696 Hungry Harbor Rd
Valley Stream, NY 11581-3039
Phone
(917) 576-0315
NPI assigned
Apr 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 055529 NY Primary

Addresses

Primary practice location

696 Hungry Harbor Rd
Valley Stream, NY 11581-3039

Mailing address

696 Hungry Harbor Rd
Valley Stream, NY 11581-3039
Phone (917) 576-0315

Other names 1

  • Dr. Sarah Berkowitz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160526001676 NY Order and Referring Only - DentistPractitioner - Dentist 6709176167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1881911816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 HUNGRY HARBOR RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813039",
            "telephone_number": "917-576-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 HUNGRY HARBOR RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115813039",
            "telephone_number": "917-576-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ DIENSTAG",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-30",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "055529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "BERKOWITZ",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.