Jacqueline Berkovsky, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9117616 Issued in FL

Practice address

9868 S State Road 7 Ste 330
Boynton Beach, FL 33472-4477

Phone

(561) 880-8866

NPI assigned

Nov 29, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1902400153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 MOUNTAIN PINE GRV",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334737405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9868 S STATE ROAD 7 STE 330",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724477",
            "telephone_number": "561-880-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOVSKY",
        "first_name": "JACQUELINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-29",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9117616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan Berger, MD
• Jeanelyn Berges, PA-C
• Erin Danielle Bergin, ARNP
• Michael Ellis Berglass, DDS
• Julie Berk, P.T.
• Joshua Matthew Berlin, MD
• Steven B Berlin, D.D.S.
• Deborah Karen Berman, LCSW
• Erick Randy Berman
• Ruth S Berman, D.C.

• Surgical Physician Assistant in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.