Individual provider Active NPI

Marie Hersey Bernardo, M.D.

  • Interventional Cardiology Physician
  • Hamilton, NJ
National Provider Identifier
1225425614
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA11518900 Issued in NJ
Practice address
2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone
(609) 584-1212
Fax
(609) 584-0103
NPI assigned
Apr 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 4301114263 MI
Cardiovascular Disease Physician 207RC0000X 25MA11518900 NJ
Interventional Cardiology Physician 207RI0011X 311494 NY
Interventional Cardiology Physician 207RI0011X 25MA11518900 NJ Primary
Cardiovascular Disease Physician 207RC0000X 311494 NY

Addresses

Primary practice location

2073 Klockner Rd
Hamilton, NJ 08690-3414

Mailing address

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Other practice location 1

1262B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690-3707
Phone (609) 584-1212

Other identifiers 1

IdentifierTypeStateIssuer
0845949MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170907003332 CA Practitioner - Internal Medicine 1355614629 Reassigns benefits to 1 organization
I20220714000197 NJ Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 1355614629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Cardiology Associates PAGroup PAC ID 4284629932, 20 clinicians

Practice addresses (Care Compare)

2073 Klockner Rd
Hamilton, NJ 08690-3414
Phone (609) 584-1212

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting48
Varicose vein removal28
Leg revascularization (restoring blood flow)18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301114263MIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 1, 2017 Accepting new patients
Hamilton Cardiology Associates, PA Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients

Locations

435 H St
Chula Vista, CA 91910
Phone (619) 691-7000

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

4077 5th Ave
#35
San Diego, CA 92103
Phone (619) 260-7220

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

1262B Whitehorse Hamilton Square Rd
Hamilton, NJ 08690
Phone (609) 584-1212

2073 Klockner Rd
Trenton, NJ 08690
Phone (609) 584-1212

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.762
  • Direct secure messaging: mbernardo@hca.gwaydirect.com
  • Direct secure messaging: marie.bernardo.1@33139.direct.athenahealth.com
  • Direct secure messaging: mbernardo618436@direct.hfhs.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1225425614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2073 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903414",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262B Whitehorse Hamilton Square Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "086903707",
            "country_code": "US",
            "telephone_number": "609-584-1212",
            "fax_number": "609-584-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "MARIE",
        "middle_name": "HERSEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-23",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301114263",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA11518900",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "311494",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA11518900",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "311494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0845949",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.