DR. RICHARD STEPHEN BERK (NPI# 1760557417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760557417 |
| Entity Type | Individual |
| Full Name | DR. RICHARD STEPHEN BERK |
| Credential | DDS |
| Practice Address |
3377 Richmond Avenue Staten Island NY 10312 |
| Practice Telephone | 7189482900 |
| Practice Fax Number | 7189487510 |
| Mailing Telephone | 7189482900 |
| Mailing Fax Number | 7189487510 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DDS027408 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00288537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588731244 | Richard S Berk | Surgery | 2500 Ridge Ave, Suite 107, Evanston, IL 60201-2455 | 2006-11-29 |
| Street Address |
3377 RICHMOND AVENUE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104338946 | Liberty Oral Surgery | Dentist | 201 Edward Curry Ave Ste 101, Staten Island, NY 10314-7102 | 2017-11-02 |
| 1225316961 | Paramount Oral Surgery and Dental Implant Center, LLC | Dentist | 201 Edward Curry Ave, Suite 101, Staten Island, NY 10314-7105 | 2011-07-29 |
| 1891000881 | Jerry Sherman | Dentist | 638 Bard Ave, 1st Floor, Staten Island, NY 10310-3020 | 2010-08-13 |
| 1740316413 | John A Lavinio | Dentist | 4300 Hylan Blvd, Staten Island, NY 10312-6505 | 2007-02-26 |
| 1063475424 | Jeremiah D'anna | Dentist | 4571 Hylan Blvd, Staten Island, NY 10312-6405 | 2006-04-07 |
| 1730178120 | Ralph Thomas Costagliola | Dentist | 71 Todt Hill Rd, Suite 106, Staten Island, NY 10314-4534 | 2005-10-18 |
| 1457785024 | Oral Surgery Associates P.C. | Dentist | 4300 Hylan Blvd, Suite 2g, Staten Island, NY 10312-6507 | 2013-08-30 |
| 1649542523 | Lydia Jane Lam | Dentist | 256 C Mason Ave, 3rd Floor, Staten Island, NY 10305 | 2012-02-07 |
| 1316217763 | Staten Island Oral & Maxillofacial Surgery | Dentist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2012-01-03 |
| 1700179124 | Advanced Oral Surgery of Staten Island | Dentist | 2025 Richmond Ave, Suite Ll2, Staten Island, NY 10314-3937 | 2011-05-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.