Active NPI
Karen De Amorim Bernstein, M.D.
- Radiation Oncology Physician
- Boston, MA
National Provider Identifier
1104998764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 253381
- Practice address
- 55 Fruit St
Lunder Building-LL2
Boston, MA 02114-2621 - Phone
- (617) 726-0923
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A96097 | CA | |
| Radiation Oncology Physician | 2085R0001X | 253381 | MA | Primary |
Addresses
Primary practice location
55 Fruit St
Lunder Building-LL2
Boston, MA 02114-2621
Mailing address
175 Blossom St
803
Boston, MA 02114-2622
Phone (310) 739-8940
Other names 1
- Karen Lunardi de Amorim Bernstein
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A96097 | CA | MD | Clinical Cardiac Electrophysiology Physician |
| 253381 | MA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406246400000",
"number": "1104998764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 BLOSSOM ST",
"address_2": "803",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142622",
"telephone_number": "310-739-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST",
"address_2": "LUNDER BUILDING-LL2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021142621",
"telephone_number": "617-726-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE AMORIM BERNSTEIN",
"first_name": "KAREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2014-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A96097",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MA",
"license": "253381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREN",
"last_name": "LUNARDI DE AMORIM BERNSTEIN",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.