Provider Demographics
NPI:1497311583
Name:BERKES, JAY JOSEPH (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:JOSEPH
Last Name:BERKES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 JACKSON COVE RD
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06478-1535
Mailing Address - Country:US
Mailing Address - Phone:217-504-9288
Mailing Address - Fax:
Practice Address - Street 1:374 POST RD E
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4402
Practice Address - Country:US
Practice Address - Phone:203-268-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCSP.0080998207Q00000X
CT71905207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine