Individual provider Active NPI

Marie Antoinette Bernard, MD MPH

  • Public Health & General Preventive Medicine Physician
  • Corona, NY
National Provider Identifier
1093750127
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
1881801 Issued in NY
Practice address
34-33 Junction Blvd
2ND Floor
Corona, NY 11372
Phone
(718) 476-7635
NPI assigned
Jun 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
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
Public Health & General Preventive Medicine Physician 2083P0901X 1881801 NY Primary

Addresses

Primary practice location

34-33 Junction Blvd
2ND Floor
Corona, NY 11372

Mailing address

125 Worth St
RM 901 Boy 22 Nycdohmh Division of Disease Control
New York, NY 10013-4006
Phone (212) 442-8468

Other identifiers 1

IdentifierTypeStateIssuer
1881801OtherNYNY STATE LIC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060808000127 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 0446253728 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multiviz Medical Services PCGroup PAC ID 1557274735, 26 clinicians

Practice addresses (Care Compare)

529 Beach 20TH St
Far Rockaway, NY 11691-3615
Phone (718) 327-7307

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1881801NYMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Care Medical Group, PLLC CurrentSince May 1, 2019 Accepting new patients
City of New York Office of Payroll Administration CurrentSince Jan 1, 2020 Accepting new patients
Multiviz Medical Services PC CurrentSince Nov 24, 2018 Accepting new patients
City of New York Office of Payroll Administration Current Accepting new patients
City of New York Office of Payroll Administration CurrentSince Jan 1, 2020 Accepting new patients
The Hebrew Home for the Aged at Riverdale Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
150 Riverside Op. LLC Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients
City of New York Office of Payroll Administration Past Accepting new patients

Locations

1309 Fulton Ave
Bronx, NY 10456
Phone (718) 566-3587

1309 Fulton Ave
Rm 2
Bronx, NY 10456
Phone (718) 901-6536

1218 Prospect Pl
#M
Brooklyn, NY 11213
Phone (718) 953-8208

259 Bristol St
Brooklyn, NY 11212
Phone (718) 345-5000

259 Bristol St
Rm 239
Brooklyn, NY 11212
Phone (718) 495-8281

295 Flatbush Avenue Ext
Brooklyn, NY 11201
Phone (212) 566-3587

335 Central Ave
Fl 2
Brooklyn, NY 11221
Phone (718) 443-9300

485 Throop Ave
Brooklyn, NY 11221
Phone (718) 574-2462

485 Throop Ave
#208A
Brooklyn, NY 11221
Phone (718) 574-2462

529 Beach 20th St
Far Rockaway, NY 11691
Phone (516) 770-5712

80 N Franklin St
Hempstead, NY 11550
Phone (516) 481-6433

3433 Junction Blvd
Fl 2
Jackson Heights, NY 11372
Phone (718) 396-5134

9037 Parsons Blvd
Jamaica, NY 11432
Phone (718) 262-5521

2238 5th Ave
New York, NY 10037
Phone (646) 698-4405

303 9th Ave
Lowr Manh
New York, NY 10001
Phone (212) 566-3587

303 9th Ave
Rm 137
New York, NY 10001
Phone (212) 239-1757

600 W 168th St
New York, NY 10032
Phone (212) 566-3587

600 W 168th St
Fl 3
New York, NY 10032
Phone (212) 368-4500

51 Stuyvesant Pl
Staten Island, NY 10301
Phone (718) 815-1647

51 Stuyvesant Pl
Rm 408
Staten Island, NY 10301
Phone (718) 983-4530

150 Eileen Way
Unit 1
Syosset, NY 11791
Phone (516) 855-5255

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093750127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WORTH ST",
            "address_2": "RM 901 BOY 22 NYCDOHMH DIVISION OF DISEASE CONTROL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134006",
            "telephone_number": "212-442-8468",
            "fax_number": "212-442-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34-33 JUNCTION BLVD",
            "address_2": "2ND FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "11372",
            "telephone_number": "718-476-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARD",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "1881801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LIC NUMBER",
            "identifier": "1881801",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

Verify at the official NPI Registry.