Provider Demographics
NPI:1275999468
Name:BERKLEYCHAMBERS LLC
Entity Type:Organization
Organization Name:BERKLEYCHAMBERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:856-449-4068
Mailing Address - Street 1:437 CHAMBERS AVE
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1404
Mailing Address - Country:US
Mailing Address - Phone:856-449-4068
Mailing Address - Fax:
Practice Address - Street 1:437 CHAMBERS AVE
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1404
Practice Address - Country:US
Practice Address - Phone:856-449-4068
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2016-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health