Henry H Bernstein, D.O.
Individual provider Active NPI Pediatrics Physician · Lebanon, NH
NPI 1104937846 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104937846
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 12958 (NH)
- Practice address
- 1 Medical Center Dr
DHMC, Department of Pediatrics
Lebanon, NH 03756-1000 - Phone
- (603) 653-9600
- Fax
- (603) 650-0910
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000883 | NY | Practitioner - Pediatric Medicine | 5092723379 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12958 | NH | MD | Pediatrics Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
611 Northern Blvd
Great Neck, NY 11021
Phone (516) 325-7000
300 Community Dr
Plandome, NY 11030
391 N Country Rd
Smithtown, NY 11787
Phone (631) 361-2020
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- henrybernstein@nslijmedgr.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12958 | NH | Yes |
Addresses
Primary practice location
1 Medical Center Dr
DHMC, Department of Pediatrics
Lebanon, NH 03756-1000
Mailing address
1 Medical Center Dr
DHMC, Department of Pediatrics
Lebanon, NH 03756-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011965 | Medicaid | VT | |
| 30220358 | Medicaid | NH |
Other providers in Lebanon, NH
- James Lawrence Bernat
- Joseph A Berndsen
- Julia Bernier
- Philip M Bernini
- Joann M. Berns
- Steven L Bernstein
- Natalia C Berry
- Mia Bertalan
- Pamela M Bertolino
- Marc Lawrence Bertrand
All providers in Lebanon, NH · Pediatrics Physician in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.