Individual provider Active NPI

Jessica Berkowitz, M.D.

  • Diagnostic Radiology Physician
  • Suffern, NY
National Provider Identifier
1912908732
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
163858 Issued in NY
Practice address
11 N Airmont Rd
Suffern, NY 10901-5103
Phone
(845) 357-7245
Fax
(845) 357-7907
NPI assigned
Aug 2, 2005
Last updated
Jun 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 163858 NY Primary

Addresses

Primary practice location

11 N Airmont Rd
Suffern, NY 10901-5103

Mailing address

320 Robinson Ave
C/O Orange Radiology Associates, PC
Newburgh, NY 12550-3353
Phone (845) 565-1989

Other identifiers 1

IdentifierTypeStateIssuer
01272068MedicaidNY

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ramapo Radiology Mobile P.C. Diagnostic Radiology CurrentSince Jul 4, 1991 Accepting new patients
MRI Associates of Queens, PC Past Accepting new patients

Locations

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

255 Lafayette Ave
#H
Suffern, NY 10901
Phone (845) 357-3356

79 Route 59
Suffern, NY 10901
Phone (845) 357-1717

Organizations & group practices 2

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": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1912908732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ROBINSON AVE",
            "address_2": "C/O ORANGE RADIOLOGY ASSOCIATES, PC",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125503353",
            "telephone_number": "845-565-1989",
            "fax_number": "845-863-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N AIRMONT RD",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109015103",
            "telephone_number": "845-357-7245",
            "fax_number": "845-357-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERKOWITZ",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "163858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272068",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffern, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; 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.