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

Dominick Anthony Shao-Berkery

Individual provider Registered Nurse · NPI 1205213337

Dominick Anthony Shao-Berkery is a 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

Practice location Address checks out

66 Sheridan Ave
Waldwick, NJ 07463-2210
Phone: (415) 999-6543
Show map & directions

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

Other providers in Waldwick