Renee A Berna, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MA068350 Issued in NJ

Practice address

5045 Rte 130 S
Ste E
Delran, NJ 08075-9707

Phone

(856) 764-2525

Fax

(856) 764-6344

NPI assigned

Jan 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124176524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5045 RTE 130 S",
            "address_2": "STE E",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-2525",
            "fax_number": "856-764-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5045 RTE 130 S",
            "address_2": "STE E",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080759707",
            "telephone_number": "856-764-2525",
            "fax_number": "856-764-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNA",
        "first_name": "RENEE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA068350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Matthew Peter Basara, MD
• Pascale Bastien, M.D.
• Sara Battaglia, LSW
• Julie Black, WHNP-BC
• Dylan Marie Bobek, OTR/L
• Melody Jan Boudwin, P.A.
• Brighter Dental Care (Delran)
• C & S LLC

• All providers in Delran, NJ
• Internal Medicine Physician in New Jersey

• 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; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.