ADVANCED ORTHOPAEDICS PLLC NPI 1104992593

NPI Information

  • NPI: 1104992593
  • Provider Name: ADVANCED ORTHOPAEDICS PLLC
  • Classification: Orthopaedic Surgery - 207XS0114X
  • Specialization: Adult Reconstructive Orthopaedic Surgery
  • Entity Type: Organization
  • CLIA Number: 33D2109183
  • Address: 8002 KEW GARDENS RD
    3RD FLOOR
    KEW GARDENS, NY
    ZIP 11415
  • Phone: (718) 575-5454

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NPI Details

ADVANCED ORTHOPAEDICS PLLC is an adult reconstructive orthopaedic surgery orthopaedic surgery in Kew Gardens, NY. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. ADVANCED ORTHOPAEDICS PLLC NPI is 1104992593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8002 KEW GARDENS RD
3RD FLOOR
KEW GARDENS, NY
ZIP 11415
Phone: (718) 575-5454
Fax: (718) 575-0098

The provider's authorized official is Dov Jay Berkowitz .
The authorized official title is Owner and has the following contact phone number (718) 575-5454.

The CLIA number assigned to this NPI record is 33D2109183 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 9/11/2025.

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
1207X00000XOrthopaedic Surgery1523851NEW YORKNo
2207XX0005XOrthopaedic SurgerySports Medicine1523851NEW YORKNo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery1523851NEW YORKYes

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
12C1564OTHERNEW YORKHEALTHNET
200826480MEDICAIDNEW YORK
3DS437OTHERNEW YORKOXFORD

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: 11/21/2025

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