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NPI Code Detail

MEDICARE: MR. RONALD J BERKA MD

MEDICARE: MR. RONALD J BERKA MD
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
1207V00000XObstetrics & Gynecology Physician216943NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699764662
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RONALD J BERKA MD
Provider Business Mailing Address
First Line : 55 WATER ST
Second Line : FL 2
City : NEW YORK
State : NY
Zip : 10041-0004
Country : US
Telephone Number : 646-680-2888
Fax Number : 516-542-5556
Provider Business Practice Location Address
First Line : 31-75 23RD STREET
Second Line :
City : ASTORIA
State : NY
Zip : 11106-4134
Country : US
Telephone Number : 718-956-2200
Fax Number : 718-956-2316
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 11/18/2025

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