SHAWN ANTHONY BERKOWITZ (NPI# 1063479798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063479798 |
| Entity Type | Individual |
| Full Name | SHAWN ANTHONY BERKOWITZ |
| Credential | MD |
| Practice Address |
55 Cinema Blvd Leominster MA 01453-3290 |
| Practice Telephone | 9784013100 |
| Practice Fax Number | 9784013116 |
| Mailing Telephone | 9784013100 |
| Mailing Fax Number | 9784013116 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2014-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 237935 | NY | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
237935 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ECFMG # | 06158729 | 01 | |
| NY | 02700838 | 05 |
| Street Address |
55 CINEMA BLVD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-3290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306825831 | Ashraf F Elkerm | Internal Medicine | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2006-01-12 |
| 1467936708 | Niyanti Patel | Family Medicine | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2018-09-22 |
| 1922589902 | Gerald Nowosacki | Social Worker | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2018-08-27 |
| 1356822068 | William Patrick Shea | Occupational Therapist | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2018-08-22 |
| 1790263499 | Donna Marie Ferro | Social Worker | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2018-08-03 |
| 1366938177 | Samantha Christine Hadley | Nurse Practitioner | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2018-07-04 |
| 1740519156 | Sheila Rita Despres | Physical Therapist | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2009-12-14 |
| 1124258165 | Colleen Marie Richard | Physical Therapy Assistant | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2009-07-24 |
| 1740305713 | Kelly Kurtz | Occupational Therapist | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2007-03-20 |
| 1760592786 | Susan I Zangarine | Nurse Practitioner | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316081003 | John F Donaldson | Family Medicine | 14 Roundwood Rd, Natick, MA 01760-2131 | 2007-02-16 |
| 1811053440 | Jerome Lewis Avorn | Family Medicine | Brigham and Women's Hospital Division of Pharmaco, 1620 Tremont Street, Boston, MA 02120 | 2006-12-28 |
| 1386685188 | Curtis Mock | Family Medicine | 23 Kelton St, Rehoboth, MA 02769-2530 | 2006-06-10 |
| 1932147444 | Stephanie L Groll | Family Medicine | 274 Spring St, Marshfield, MA 02050-5828 | 2006-06-04 |
| 1922057017 | Murali Ramadurai | Family Medicine | 83 Littlefield Rd, Newton, MA 02459-3010 | 2006-05-08 |
| 1669446597 | Bruce Steven Finke | Family Medicine | 45 Vernon St, Northampton, MA 01060-2845 | 2006-02-15 |
| 1427022672 | Fahim A Kazi | Family Medicine | 98 Shaker Rd, East Longmeadow, MA 01028 | 2006-02-15 |
| 1831160860 | Daphne Eleanor Schneider | Family Medicine | 236 Highland Ave, 2nd Floor, Somerville, MA 02143-1495 | 2006-01-28 |
| 1396723110 | David Wahl | Family Medicine | 62 Market St, Lynn, MA 01902 | 2006-01-03 |
| 1417943382 | Richard Peter Brunswick | Family Medicine | 43 Center St, Suite 302, Northampton, MA 01060-3063 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.