Individual provider Active NPI

Brittney Morgan Bernardini, PA-C

  • Physician Assistant
  • Eastchester, NJ
National Provider Identifier
1073823852
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
23 014363 Issued in NY
Practice address
58 Ridge St
Eastchester, NJ 10709
Phone
(609) 703-8565
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 23 014363 NY Primary

Addresses

Primary practice location

58 Ridge St
Eastchester, NJ 10709

Mailing address

58 Ridge St
Eastchester, NY 10709-1705
Phone (609) 703-8565

Other names 1

  • Brittney Morgan Wolfe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111026000762 CT Practitioner - Physician Assistant 4587837182 Reassigns benefits to 1 organization
I20131010001952 NY Practitioner - Physician Assistant 4587837182 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
014363NYMDMental Health Counselor
2595NYMDOccupational Therapist
23 014363NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Physicians of Connecticut, PC CurrentSince Aug 3, 2015 Accepting new patients
Afc Physicians of Connecticut, PC CurrentSince Aug 3, 2015 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Feb 17, 2014 Accepting new patients
Westchester Medical Center Past Accepting new patients

Locations

2 Main St
Danbury, CT 06810
Phone (203) 826-2140

689 Mamaroneck Ave
Fl 3
Mamaroneck, NY 10543

100 Woods Rd
Valhalla, NY 10595
Phone (914) 490-7000

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1073823852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 RIDGE ST",
            "city": "EASTCHESTER",
            "state": "NY",
            "postal_code": "107091705",
            "telephone_number": "609-703-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 RIDGE ST",
            "city": "EASTCHESTER",
            "state": "NJ",
            "postal_code": "10709",
            "telephone_number": "609-703-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "BRITTNEY",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "23 014363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTNEY",
            "last_name": "WOLFE",
            "middle_name": "MORGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Sources for this page

Verify at the official NPI Registry.