Individual provider Active NPI

Lindsey Morgan Bernstein, PA-C

  • Physician Assistant
  • Medford, NJ
National Provider Identifier
1093323768
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00576500 Issued in NJ
Practice address
103 Old Marlton Pike
Medford, NJ 08055-8772
Phone
(609) 714-0202
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00576500 NJ Primary
Physician Assistant 363A00000X MA061703 PA
Physician Assistant 363A00000X OA005300 PA

Addresses

Primary practice location

103 Old Marlton Pike
Medford, NJ 08055-8772

Mailing address

230 Race St Apt C
Philadelphia, PA 19106-1973
Phone (856) 495-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20210216000336 PA Practitioner - Physician Assistant 4183039688 Reassigns benefits to 1 organization
I20230425001474 NJ Practitioner - Physician Assistant 4183039688 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Rutgers, Robert Woood Johnson Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Center of Washington Township PCGroup PAC ID 2769419860, 10 clinicians

Practice addresses (Care Compare)

100 Kings Way E
Sewell, NJ 08080-2237
Phone (856) 589-3331

Merit-based Incentive Payment System (MIPS)

Final score
96.33 of 100Reported as group
Quality
93.33
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
OA005300PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince Nov 10, 2020 Accepting new patients
Dermatology Center of Washington Township PC CurrentSince Aug 4, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 10, 2020 Accepting new patients

Locations

100 Kings Way E
Ste A3
Sewell, NJ 08080
Phone (856) 262-1900

Interoperability endpoints

  • Direct secure messaging: lduboff@bcderm.emadirect.md

Organizations & group practices 5

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": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1093323768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 RACE ST APT C",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191061973",
            "telephone_number": "856-495-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OLD MARLTON PIKE",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080558772",
            "telephone_number": "609-714-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "LINDSEY",
        "middle_name": "MORGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00576500",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA061703",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA005300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.