DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ NPI 1144434879

NPI Information

NPI: 1144434879
Provider Name: DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
21409 73RD AVE
BAYSIDE, NY
ZIP 11364
Phone: (718) 224-9000
Get Directions

DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ is a foot surgery podiatrist in Bayside, NY. DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ NPI is 1144434879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21409 73RD AVE
BAYSIDE, NY
ZIP 11364-947
Phone: (718) 224-9000
Fax: (718) 224-1348

The provider's authorized official is Gordon Jay Berg .
The authorized official title is Owner and has the following contact phone number (718) 224-9000.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 8/1/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0131X	Podiatrist	Foot Surgery	N002482	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4972630001	MEDICARE NSC	NEW YORK
2	57858	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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