MR. GILBERT BEROOKHIM


Address: 5611 Catalpa Ave, Ridgewood, NY 11385-4841
Phone: 7184170117

MR. GILBERT BEROOKHIM (NPI# 1932182375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932182375
Entity Type Individual
Full Name MR. GILBERT BEROOKHIM
Credential DDS
Practice Address 5611 Catalpa Ave
Ridgewood
NY 11385-4841
Practice Telephone 7184170117
Practice Fax Number 7183815450
Mailing Telephone 7184170117
Mailing Fax Number 7183815450
Enumeration Date 2005-11-21
Last Update Date 2008-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 043616 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01368405 05

Office Location

Street Address 5611 CATALPA AVE
City RIDGEWOOD
State NY
Zip Code 11385-4841

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City RIDGEWOOD
Zip Code 11385

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Dataset Information

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.

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