Individual provider Active NPI

Marissa R Bernstein, PNP-PC

  • Pediatric Nurse Practitioner
  • New York, NY
National Provider Identifier
1023754876
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383300 Issued in NY
Practice address
160 E 32ND St Ste L3
New York, NY 10016-6004
Phone
(212) 263-5940
NPI assigned
May 5, 2022
Last updated
Aug 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383300 NY Primary

Addresses

Primary practice location

160 E 32ND St Ste L3
New York, NY 10016-6004

Mailing address

160 E 32ND St Ste L3
New York, NY 10016-6004
Phone (212) 264-5940

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbernstein126074@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220804000802 NY Practitioner - Nurse Practitioner 3476935644 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 1, 2022 Accepting new patients
New York University CurrentSince Jul 1, 2022 Accepting new patients

Locations

160 E 32nd St
New York, NY 10016
Phone (212) 263-5940

160 E 32nd St
Ste L3
New York, NY 10016
Phone (212) 263-5940

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1023754876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST STE L3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-264-5940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 32ND ST STE L3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166004",
            "telephone_number": "212-263-5940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "MARISSA",
        "middle_name": "R",
        "credential": "PNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbernstein126074@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "160 E 32nd St Ste L3",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.