Individual provider Active NPI

Ronald Maurice Bernardin III, MD

  • Dermatology Physician
  • Voorhees, NJ
National Provider Identifier
1164409819
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-12603 Issued in HI
Practice address
707 White Horse Road Suite C103
Macaione and Papa Dermatology Associates
Voorhees, NJ 08043
Phone
(856) 627-1900
Fax
(856) 627-6907
NPI assigned
Dec 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD-12603 HI Primary
Aerospace Medicine Physician 2083A0100X 12603 HI

Addresses

Primary practice location

707 White Horse Road Suite C103
Macaione and Papa Dermatology Associates
Voorhees, NJ 08043

Mailing address

707 White Horse Rd
Suite C103
Voorhees, NJ 08043-2461
Phone (856) 627-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20130405000309 NJ Practitioner - Dermatology 2668617085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Drexel University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Macaione and Papa Dermatology Associates, PAGroup PAC ID 9537119755, 7 clinicians

Practice addresses (Care Compare)

707 White Horse Rd
Suite C 103
Voorhees, NJ 08043-2461
Phone (856) 627-1900

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision112
Removal of skin lesions1309
Removal or shaving of skin growth53
Skin biopsy366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-12603HIMDDermatology Physician
12603HIMDAerospace Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macaione & Papa Dermatology Associates, PA CurrentSince May 1, 2013 Accepting new patients

Locations

707 White Horse Rd
Ste C103
Voorhees, NJ 08043
Phone (856) 627-1900

Interoperability endpoints

  • Direct secure messaging: ronald.bernardin@qdp.emadirect.md
  • Direct secure messaging: rbernardin@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1164409819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE RD",
            "address_2": "SUITE C103",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080432461",
            "telephone_number": "856-627-1900",
            "fax_number": "856-627-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITE HORSE ROAD SUITE C103",
            "address_2": "MACAIONE AND PAPA DERMATOLOGY ASSOCIATES",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-627-1900",
            "fax_number": "856-627-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDIN",
        "first_name": "RONALD",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-23",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD-12603",
            "primary": true
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "HI",
            "license": "12603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.