Roberta Bernitt

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

R047904 Issued in NY

Legal business name

ROBERTA BERNITT

Practice address

67-30 Clyde St. -Suite a
New York, NY 11375

Phone

(917) 558-5355

Fax

(718) 520-0671

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Prof. Roberta Bernitt, LCSW-RNPI 1083716211

Title

Owner

Phone

(917) 558-5355

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roberta Bernitt, LCSW

  • Clinical Social Worker
  • Rego Park, NY
  • NPI 1083716211
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1194990150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6730 CLYDE ST",
            "address_2": "SUITE 2A",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754055",
            "telephone_number": "917-558-5355",
            "fax_number": "718-520-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-30 CLYDE ST. -SUITE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "917-558-5355",
            "fax_number": "718-520-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTA BERNITT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "BERNITT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-558-5355",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "R047904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W. Dillon, M.D.,P.C.
• Robert Zaretsky,MD,Facs and Steven Zaretsky,MD,Faaos,Cime, PLLC
• Robert, & Martin Aronoff
• Elena Robert, M.D.
• Joyce Robert, MD
• Jennifer Cory Roberts-Fox, LCSW
• Emma F Roberts-Vaurio, LMSW
• Abbey Roberts, PT, DPT
• Alice Slocum Roberts, LMSW
• Allyson Roberts, MHC-LP

• Exclusive Provider Organization in New York, NY
• Providers in New York, NY by specialty
• Exclusive Provider Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.