Individual provider Active NPI

Raymond A. Bernard

  • Certified Registered Nurse Anesthetist
  • Egg Harbor Township, NJ
National Provider Identifier
1093729279
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NR06347800 Issued in NJ
Practice address
6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543
Phone
(609) 813-2190
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 26NR06347800 NJ Primary

Addresses

Primary practice location

6314 Black Horse Pike
Egg Harbor Township, NJ 08234-5543

Mailing address

PO Box 237
Northfield, NJ 08225-0237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101004001112 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365341013 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR06347800NJMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Coast Anesthesia LLC CurrentSince Dec 9, 2018 Accepting new patients
Anesthesiology Professional Services, Inc. CurrentSince Jul 16, 2013 Accepting new patients
Pinnacle Mid-Atlantic Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Sep 15, 2019 Accepting new patients
South Shore Anesthesia and Pain Past Accepting new patients
Jersey Shore Pain Management Past Accepting new patients
Michiana Hematology Oncology of Michigan, P.C. Past Accepting new patients
Frederick a. Coville, MD, PC Past Accepting new patients
Mercy Tyler Hospital Past Accepting new patients
Rancocas Anesthesiology, P.a. Past Accepting new patients
Burlington Anesthesia Associates, PA Past Accepting new patients
Atlantic Anesthesia & Pain Past Accepting new patients
Northeast Institute for Age Management PastSince Sep 23, 2021 Accepting new patients
Mercy Tyler Health Systems Past Accepting new patients
South Shore Anesthesia, P.C. Past Accepting new patients
Jefferson Memorial Hospital Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

7408 Lake Worth Rd
Ste 900
Lake Worth, FL 33467
Phone (561) 433-5700

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093729279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082250237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 BLACK HORSE PIKE",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345543",
            "telephone_number": "609-813-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "RAYMOND",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NR06347800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.