Active NPI
Orenzo Wilfred Bernard, LPN
- Licensed Practical Nurse
- Auburn, NY
National Provider Identifier
1124335088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 285904
- Practice address
- 14 E Garden St
Auburn, NY 13021-3602 - Phone
- (315) 255-3390
- Fax
- (315) 255-2390
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 285904 | NY | Primary |
Addresses
Primary practice location
14 E Garden St
Auburn, NY 13021-3602
Mailing address
2 Van Patten St
Auburn, NY 13021-4510
Phone (315) 604-1428
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285904 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Home Care, Inc. | Past | Accepting new patients | |
| New Beginnings Home Care | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Care Agency
- Auburn, NY
- NPI 1518276757
-
- Home Health Agency
- Auburn, NY
- NPI 1396914461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284595200000",
"number": "1124335088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 VAN PATTEN ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130214510",
"telephone_number": "315-604-1428",
"fax_number": "315-255-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 E GARDEN ST",
"city": "AUBURN",
"state": "NY",
"postal_code": "130213602",
"telephone_number": "315-255-3390",
"fax_number": "315-255-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNARD",
"first_name": "ORENZO",
"middle_name": "WILFRED",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2010-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "285904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.