Provider Demographics
NPI:1386667475
Name:DRS. BERKOWITZ & ROTHMAN, P.C.
Entity Type:Organization
Organization Name:DRS. BERKOWITZ & ROTHMAN, P.C.
Other - Org Name:ADVANCED CARDIOLOGY INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-461-6200
Mailing Address - Street 1:2200 FLETCHER AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-5005
Mailing Address - Country:US
Mailing Address - Phone:201-461-6200
Mailing Address - Fax:201-461-3738
Practice Address - Street 1:2200 FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-5005
Practice Address - Country:US
Practice Address - Phone:201-461-6200
Practice Address - Fax:201-461-3738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA21558207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ699887Medicare PIN