Barbra Berwald, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

047691 Issued in NY

Practice address

1044 Northern Blvd
Roslyn, NY 11576-1514

Phone

(516) 672-1881

Fax

(212) 425-2120

NPI assigned

Jan 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other names 1

• Dr. Barbra Berwald Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992842066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 COW NECK RD",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501114",
            "telephone_number": "516-883-1498",
            "fax_number": "212-425-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-672-1881",
            "fax_number": "212-425-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERWALD",
        "first_name": "BARBRA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "047691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARBRA",
            "last_name": "BERWALD",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• H. Sinan Berkay, M.D.
• Andrew David Berke, M.D.
• Cassie Rae Berman, MSED
• Maria Rebbeca Bernstein, ANP
• Dena Berrebbi, PH.D.
• Wendy Bezko Colligan, RPA-C
• Priti Bhushan, PA
• Karina Bibicheff, MD
• Kelly Bitran, NP
• Toniann Bligh, PA

• Periodontics in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.