Provider Demographics
NPI:1235597550
Name:BERKOVSKY, ELINA (PA-C)
Entity type:Individual
Prefix:
First Name:ELINA
Middle Name:
Last Name:BERKOVSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ELINA
Other - Middle Name:
Other - Last Name:LUBOMIRSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:1033 ROUTE 46 # AST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2473
Mailing Address - Country:US
Mailing Address - Phone:973-779-7979
Mailing Address - Fax:973-779-7970
Practice Address - Street 1:1945 RT 33
Practice Address - Street 2:DEPARTMENT OF OBGYN
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753
Practice Address - Country:US
Practice Address - Phone:732-776-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-01
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00383100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty