Individual provider Active NPI

James J Bernard, M.D.

  • Psychiatry Physician
  • Jackson Heights, NY
National Provider Identifier
1053588574
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
00094299 Issued in NY
Practice address
7409 37TH Ave
Suite 315
Jackson Heights, NY 11372-6300
Phone
(718) 672-1705
Fax
(718) 672-2027
NPI assigned
May 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 00094299 NY Primary

Addresses

Primary practice location

7409 37TH Ave
Suite 315
Jackson Heights, NY 11372-6300

Mailing address

7409 37TH Ave
Suite 315
Jackson Heights, NY 11372-6300
Phone (718) 672-1705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094299NYMDClinical Social Worker
00094299NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1053588574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7409 37TH AVE",
            "address_2": "SUITE 315",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726300",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7409 37TH AVE",
            "address_2": "SUITE 315",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726300",
            "telephone_number": "718-672-1705",
            "fax_number": "718-672-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "00094299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.