Individual
GADY BERKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Mailing address
26 GREENVILLE AVE, JERSEY CITY, NJ 07305-2608
(201) 333-8222
(201) 333-0095
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00682500
NJ
363LA2200X
Adult Health Nurse Practitioner
26NJ00682500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0554057
—
NJ
05
—
1255883716
—
NJ
Enumeration date
11/01/2016
Last updated
05/08/2024
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