Organization Active NPI

Jonathan Bernstein, M.D., LTD.

  • Pediatric Hematology & Oncology Physician
  • Reno, NV
National Provider Identifier
1093074965
Registry record updated May 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
8353 Issued in NV
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

Updated by the provider on May 11, 2012

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)CodeLicenseStatePrimary
Ph.D. Medical Genetics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SG0205X 12808 NV
Pediatric Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0207X 8353 NV Primary
Pediatric Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Specialty Center of Nevada3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.