Individual provider Active NPI

Adam Marc Bernheim, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1033348495
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
74745 Issued in GA
Practice address
1 Gustave L Levy PL
New York, NY 10029
Phone
(212) 427-1540
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 267999-1 NY
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 74745 GA Primary

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029

Mailing address

1 Gustave L Levy PL # 3000
New York, NY 10029-6504

Other practice location 1

1364 Clifton Rd NE Ste At500-B
Atlanta, GA 30322-3436
Phone (404) 712-7910

Other practice location 2

475 Seaview Ave
Staten Island, NY 10305-3436
Phone (718) 226-9000

Other practice location 3

1 Gustave L Levy Pl
New York, NY 10029
Phone (212) 427-1540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151022001829 GA Practitioner - Diagnostic Radiology 7810111630 Reassigns benefits to 1 organization
I20180814002012 NY Practitioner - Diagnostic Radiology 7810111630 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Main Street Radiology at Bayside LLCGroup PAC ID 5395732671, 56 clinicians

Practice addresses (Care Compare)

4401 Francis Lewis Blvd
Bayside, NY 11361-3028
Phone (718) 428-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
267999-1NYMDHome Health Registered Nurse
74745GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Sep 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2018 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Jan 1, 2023 Accepting new patients
Valley Physician Services PC CurrentSince Oct 12, 2025 Accepting new patients
Sunset Park Radiology PC Diagnostic Radiology CurrentSince Feb 20, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 1, 2018 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
The Emory Clinic Inc Diagnostic Radiology CurrentSince Sep 21, 2015 Accepting new patients
Radiology Associates of Main Street PC Diagnostic Radiology CurrentSince Sep 28, 2022 Accepting new patients
Fpa Hospital Based Diagnostic Radiology CurrentSince Sep 1, 2018 Accepting new patients
Fpa Hospital Based CurrentSince Sep 1, 2018 Accepting new patients
Fpa Hospital Based Current Accepting new patients
The New York Proton Center CurrentSince Oct 1, 2020 Accepting new patients
Main Street Radiology at Bayside LLC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

101 W Ponce de Leon Ave
Ste 300
Decatur, GA 30030
Phone (404) 778-4889

5521 8th Ave
Fl 6
Brooklyn, NY 11220
Phone (718) 928-2588

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

3225 Francis Lewis Blvd
Flushing, NY 11358
Phone 61421018851070

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

7206 Northern Blvd
Jackson Heights, NY 11372
Phone (718) 670-1512

3712 82nd St
Jackson Hts, NY 11372
Phone (718) 879-1600

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1470 Madison Ave
New York, NY 10029
Phone (212) 241-0806

225 E 126th St
New York, NY 10035
Phone (646) 813-1880

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

475 Seaview Ave
Staten Island, NY 10305
Phone (718) 226-8855

Networks

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

Organizations & group practices 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033348495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 3000",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-427-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1364 Clifton Rd NE Ste At500-B",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303223436",
            "country_code": "US",
            "telephone_number": "404-712-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Seaview Ave",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103053436",
            "country_code": "US",
            "telephone_number": "718-226-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10029",
            "country_code": "US",
            "telephone_number": "212-427-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNHEIM",
        "first_name": "ADAM",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "267999-1",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "74745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.