Organization Active NPI

P Bernstein PA

  • Surgical Physician Assistant
  • Coconut Creek, FL
National Provider Identifier
1134529274
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
RN2727472 Issued in FL
Legal business name
P BERNSTEIN PA
Practice address
4233 W Hillsboro Blvd Unit 970528
Coconut Creek, FL 33097-1228
Phone
(954) 227-8224
Fax
(954) 227-7442
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Ms. Paula Bernstein
Title
Certified Registered Nurse 1St Asst
Phone
(954) 227-8224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X RN2727472 FL Primary

Addresses

Primary practice location

4233 W Hillsboro Blvd Unit 970528
Coconut Creek, FL 33097-1228

Mailing address

PO Box 970528
Coconut Creek, FL 33097-0528

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1134529274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330970528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4233 W HILLSBORO BLVD UNIT 970528",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330971228",
            "telephone_number": "954-227-8224",
            "fax_number": "954-227-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P BERNSTEIN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CERTIFIED REGISTERED NURSE 1ST ASST",
        "authorized_official_telephone_number": "954-227-8224",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "RN2727472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Creek, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.

Verify at the official NPI Registry.