Active NPI
Jonathan Bernstein, M.D., LTD.
- Pediatric Hematology & Oncology Physician
- Reno, NV
National Provider Identifier
1093074965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 8353
- Legal business name
- JONATHAN BERNSTEIN, M.D., LTD.
- Practice address
- 540 W. Plumb Lane, Suite 200
Reno, NV 89509-3683 - Phone
- (775) 657-8981
- Fax
- (775) 657-8317
- NPI assigned
- May 11, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Annette Logan
- Title
- President
- Phone
- (702) 732-0232
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ph.D. Medical Genetics Physician | 207SG0205X | 12808 | NV | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | 8353 | NV | Primary |
| Pediatric Rheumatology Physician | 2080P0216X | 13451 | NV |
Addresses
Primary practice location
540 W. Plumb Lane, Suite 200
Reno, NV 89509-3683
Mailing address
3121 S. Maryland Parkway, Suite 302
Las Vegas, NV 89109-2302
Phone (702) 732-1493
Other names 1
- Children's Specialty Center of Nevada
National Provider Directory
National Provider Directory- Tax ID family
- Children'S Specialty Center of Nevada
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1962767343
-
- Pediatric Hematology & Oncology Physician
- Las Vegas, NV
- NPI 1366705212
Locations
3121 S Maryland Pkwy
Ste 302
Las Vegas, NV 89109
Phone (702) 794-0073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336694400000",
"number": "1093074965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3121 S. MARYLAND PARKWAY, SUITE 302",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092302",
"telephone_number": "702-732-1493",
"fax_number": "702-732-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 W. PLUMB LANE, SUITE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895093683",
"telephone_number": "775-657-8981",
"fax_number": "775-657-8317"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONATHAN BERNSTEIN, M.D., LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-05-11",
"status": "A",
"authorized_official_last_name": "LOGAN",
"authorized_official_first_name": "ANNETTE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-732-0232",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207SG0205X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Medical Genetics, Ph.D. Medical Genetics",
"state": "NV",
"license": "12808",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NV",
"license": "8353",
"primary": true
},
{
"code": "2080P0216X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics, Pediatric Rheumatology",
"state": "NV",
"license": "13451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Children's Specialty Center of Nevada",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.