Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominick Anthony Shao-Berkery

Individual provider Registered Nurse · NPI 1205213337

Dominick Anthony Shao-Berkery is registered under Certified Registered Nurse Anesthetist (CRNA) in Waldwick, New Jersey. Qualified in 2015, 11 years ago. Practices with Trustees of Columbia University in the City of New York, a 2,250-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
11
Licensed in
CA, NY
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

66 Sheridan Ave
Waldwick, NJ 07463-2210
Phone: (415) 999-6543
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95000377 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 598181 (NY)

Record details

NPI number1205213337
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 27, 2015
Last updated in NPPESMarch 29, 2023
Certification dateMarch 29, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Trustees Of Columbia University In The City Of New York — 2250 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients88
Services billed 88 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Trustees of Columbia University in the City of New York

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2250 clinicians in the practice; 12 are shown here.

Other providers in Waldwick