DR. JASON S. BERK (NPI# 1265676746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265676746 |
| Entity Type | Individual |
| Full Name | DR. JASON S. BERK |
| Credential | D.D.S. |
| Practice Address |
Stony Brook University Hospital Medical Staff Office T14 Stony Brook NY 11794-7148 |
| Mailing Address |
3 Apricot Ct Melville NY 11747-8709 |
| Practice Telephone | 6314442754 |
| Practice Fax Number | 6314446031 |
| Mailing Telephone | 6318389710 |
| Mailing Fax Number | 6318389710 |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
055473-1 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538326145 | Jason David Berk | Physical Medicine & Rehabilitation | 925 Chestnut St, 5th Floor, Philadelphia, PA 19107-4216 | 2008-05-21 |
| Street Address |
STONY BROOK UNIVERSITY HOSPITAL MEDICAL STAFF OFFICE T14 |
| City | STONY BROOK |
| State | NY |
| Zip Code | 11794-7148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144273228 | David Talbot Lawrence | Emergency Medicine | Stony Brook University Hospital, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350 | 2006-05-18 |
| 1518592120 | Marina Aknouk | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2020-03-04 |
| 1821629247 | Daniel Robert Fitzgerald | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, School of Dental Medicine 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2020-02-04 |
| 1578121463 | Mary Elizabeth Paciella | Registered Nurse | Stony Brook University Hospital, 101 Nichols Road Sbuh 8s Room 142, Stony Brook, NY 11794-7080 | 2019-06-05 |
| 1720547227 | Gabrielle Bekov | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Department of Hospital Dentistry- 151 Westchester Hall, Stony Brook, NY 11794-8711 | 2019-03-14 |
| 1407350614 | Ewa Zabrocka | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Level 2, Stony Brook, NY 11794 | 2018-03-21 |
| 1366975443 | Vivian Asakoma | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Department of Pediatrics Hsc T-11/040, Stony Brook, NY 11794-8111 | 2017-04-06 |
| 1518490945 | Hannah Marie Thompson | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 | 2017-04-03 |
| 1427581859 | Khai Hoai Anh Gustav Diep | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Health Sciences Tower, Level 19, Room 030, Stony Brook, NY 11794-8191 | 2017-04-03 |
| 1942732441 | Yueting Yang | Student in an Organized Health Care Education/Training Program | Stony Brook University Hospital, Hsc T-11 / 040, Stony Brook, NY 11794-8111 | 2017-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619506714 | Ryan John Kottmeier | Physician Assistant | 101 Nicolls Road Suny Stony Brook Hospital, Dept of Orthopedics Hsc T18, Room 080, Stony Brook, NY 11794 | 2020-04-02 |
| 1699302109 | Michael Trentalange | Student in an Organized Health Care Education/Training Program | Department of Surgery, Health Sciences Center Level 19, Room 030, Stony Brook, NY 11794 | 2020-03-25 |
| 1164985156 | Lauren Kate Harris | Student in an Organized Health Care Education/Training Program | Stony Brook Medicine, Department of Ob/gyn, Hsc T9, 101 Nicolls Road, Stony Brook, NY 11794 | 2019-04-08 |
| 1851851448 | Kathy Tin | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc 16 Suny Stony Brook Hospital, Stony Brook, NY 11794 | 2019-03-21 |
| 1174083703 | Arham Khan | Student in an Organized Health Care Education/Training Program | Dept of Medicine Hsc Level 16, Suny Stony Brook Hosp, Stony Brook, NY 11794 | 2019-03-20 |
| 1396221982 | Aman Bhojani | Student in an Organized Health Care Education/Training Program | Suny At Stony Brook Dental School, South Drive, Stony Brook, NY 11794 | 2018-07-17 |
| 1699265629 | Belliny Phaeton | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Hospital, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-15 |
| 1629568969 | Rachel Herold | Student in an Organized Health Care Education/Training Program | Stony Brook Children's Department of Pediatrics, Hsc T-11, Room 040, Stony Brook, NY 11794 | 2018-05-11 |
| 1598254419 | Nora Ann Diraimondo | Nurse Practitioner | Sb Hospital 101 Nicolls Road, Department of Medicine, Stony Brook, NY 11794 | 2018-05-07 |
| 1386140705 | Ryan Christopher Corn | Student in an Organized Health Care Education/Training Program | Dept. of Internal Medicine, Hsc Level 16-020, Suny Stony Brook, Stony Brook, NY 11794 | 2018-04-04 |
| Find all providers in zip 11794 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578818357 | Hechang Huang | Dentist | Sullivan Hl Rm 170, Stony Brook, NY 11794-8705 | 2012-07-18 |
| 1811269657 | Wellington Jose Rody Jr. | Dentist | 184 Sullivan Hall- Stony Brook School of Dent Medicine, Stony Brook, NY 11794-3003 | 2012-02-08 |
| 1790149045 | Three Village Orthodontics | Dentist | 2500 Nesconset Hwy, Building 6-b, Stony Brook, NY 11790-2555 | 2016-04-12 |
| 1881966604 | Nadav Segal D.d.s., P.c | Dentist | 2500 Nesconset Hwy, Building 4b, Stony Brook, NY 11790-2555 | 2012-02-09 |
| 1992949606 | Bahram Elaahi | Dentist | Stony Brook University Hospital, Medical Staff Office T14, Stony Brook, NY 11794-7148 | 2009-04-24 |
| 1750303871 | Michael Stephan Apton | Dentist | 2500 Nesconset Hwy, Bldg 6b, Stony Brook, NY 11790-2555 | 2006-07-25 |
| 1568482149 | Anthony Vincent Maresca | Dentist | 207 Hallock Rd, Stony Brook, NY 11790-3033 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616356 | Nathan Light | Dentist | M Dental Care PC, 337 Lenox Ave, New York, NY 10027 | 2020-10-09 |
| 1467069575 | Thomas P. Shannon, Dds, Professional Corporation | Dentist | 44 W 28th St Fl 14, New York, NY 10001-4212 | 2020-09-23 |
| 1508471665 | Daniella Davis | Dentist | 500 Portion Rd Ste 15, Lake Ronkonkoma, NY 11779-4587 | 2020-09-14 |
| 1144835927 | Nikhil Narkhede | Dentist | 401 Columbus Ave Ste 100, Valhalla, NY 10595-1349 | 2020-09-09 |
| 1619580040 | Amanda Beth Albin | Dentist | 62 Lake Ave S Ste A, Nesconset, NY 11767-1094 | 2020-08-25 |
| 1770109589 | Empire State Orthodontics, P.C. | Dentist | 2840 Military Rd, Niagara Falls, NY 14304-1566 | 2020-06-18 |
| 1457986044 | Todd Weinberger | Dentist | 1097 Old Country Rd Ste 203, Plainview, NY 11803-6505 | 2020-03-04 |
| 1851926513 | Miang Chneh C Teo | Dentist | 1100 Pelham Pkwy S, Bronx, NY 10461-1001 | 2020-03-03 |
| 1871127209 | Parisa Zare | Dentist | 40 Waterside Plz Apt 23e, New York, NY 10010-2633 | 2020-02-25 |
| 1427680776 | Sfc Orthodontics P.C. | Dentist | 738 58th St., 1st Floor, Brooklyn, NY 11220 | 2020-02-05 |
| Find all providers with the same taxonomy | ||||
| City | STONY BROOK |
| Zip Code | 11794 |
Please comment or provide details below to improve the information on DR. JASON S. BERK.
| 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.