MEDICARE: DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0131X	Foot Surgery Podiatrist	N002482	NY

General Provider Information

NPI Number	:	1144434879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ

Provider Business Mailing Address
First Line	:	21409 73RD AVE
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11364-2947
Country	:	US
Telephone Number	:	718-224-9000
Fax Number	:	718-224-1348

Provider Business Practice Location Address
First Line	:	21409 73RD AVE
Second Line	:
City	:	BAYSIDE
State	:	NY
Zip	:	11364-2947
Country	:	US
Telephone Number	:	718-224-9000
Fax Number	:	718-224-1348

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GORDON JAY BERG
Credential	:	DPM
Telephone Number	:	718-224-9000

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/01/2008

Similar Medicare Providers

1518391937 — MRS. CHRISTINA Z. BOGDOS M.S.ED
Practice Location Address:

4222 217TH ST
BAYSIDE, NY
11361-2947

Practice Phone: 347-992-9644
Practice Fax:

1215708201 — CLAIRE C ABDELDAIM
Practice Location Address:

2 BAY CLUB DR APT 16D
BAYSIDE, NY
11360-2947

Practice Phone: 347-262-7196
Practice Fax:

1891791018 — DR. STEVEN R LEVY OD
Practice Location Address:

21411A 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax: 718-225-5803

1164546065 — EDUARD SHIMANOV
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax:

1760506760 — MR. CARL ROTHMAN FNAO
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax: 718-225-5803

1164649133 — WINDSOR PARK VISION CENTER, LTD
Practice Location Address:

21411 73RD AVE
OAKLAND GARDENS, NY
11364-2947

Practice Phone: 718-225-5533
Practice Fax: 718-225-5803

Directions to “DR. GORDON J. BERG & DR. KENNETH MOSKOWITZ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.