Active NPI
Dara Leslie Bernstein, R.P.A-C
- Medical Physician Assistant
- Brooklyn, NY
National Provider Identifier
1174722045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 011862
- Practice address
- Long Island College Hospital
339 Hicks St
Brooklyn, NY 11201 - Phone
- (718) 780-1000
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 011862 | NY | Primary |
Addresses
Primary practice location
Long Island College Hospital
339 Hicks St
Brooklyn, NY 11201
Mailing address
7525 153Rd St Apt 808
Flushing, NY 11367-3096
Phone (305) 409-1894
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 |
|---|---|---|---|
| 011862 | NY | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1174722045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 153RD ST APT 808",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113673096",
"telephone_number": "305-409-1894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LONG ISLAND COLLEGE HOSPITAL",
"address_2": "339 HICKS ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11201",
"telephone_number": "718-780-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "DARA",
"middle_name": "LESLIE",
"name_prefix": "Mrs.",
"credential": "R.P.A-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "011862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.