Active NPI
Kunsook S. Bernstein, PHD, NP
- Nurse Practitioner
- Baldwin, NY
National Provider Identifier
1124016258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 400473-1
- Practice address
- 3321 Harbor Point Rd
Baldwin, NY 11510-5164 - Phone
- (516) 456-7512
- NPI assigned
- Oct 12, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 400473-1 | NY | Primary |
Addresses
Primary practice location
3321 Harbor Point Rd
Baldwin, NY 11510-5164
Mailing address
3321 Harbor Point Rd
Baldwin, NY 11510-5164
Phone (516) 456-7512
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G300080043 | Other | NY | MEDICARE ID |
| 02061347 | Medicaid | NY |
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
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400473-1 | NY | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1124016258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3321 HARBOR POINT RD",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115105164",
"telephone_number": "516-456-7512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3321 HARBOR POINT RD",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115105164",
"telephone_number": "516-456-7512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "KUNSOOK",
"middle_name": "S.",
"credential": "PHD, NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-12",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "400473-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "G300080043",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02061347",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.