NPIMap

Individual provider Active NPI

Joshua William Bernheim, M.D.

  • Vascular Surgery Physician
  • Ridgewood, NJ
National Provider Identifier
1255375374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA07732500 Issued in NJ
Practice address
1200 E Ridgewood Ave
West Wing 2ND Floor
Ridgewood, NJ 07450-3957
Phone
(201) 444-5353
Fax
(201) 444-8848
NPI assigned
Jun 16, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA07732500 NJ Primary

Addresses

Primary practice location

1200 E Ridgewood Ave
West Wing 2ND Floor
Ridgewood, NJ 07450-3957

Mailing address

83 Westminster Ave
Bergenfield, NJ 07621-3915
Phone (201) 244-5102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040915000114 NJ Practitioner - Vascular Surgery 0749257137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Jersey Endovascular Therapeutics PCGroup PAC ID 2668573650, 2 clinicians

Practice addresses (Care Compare)

1124 E Ridgewood Ave
Suite 105
Ridgewood, NJ 07450-3943
Phone (201) 444-5353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)39

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Endovascular Therapeutics PC Vascular Surgery CurrentSince Jul 1, 2007 Accepting new patients
Bergen County Improvement Authority Past Accepting new patients

Locations

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

1124 E Ridgewood Ave
Ste 104
Ridgewood, NJ 07450
Phone (201) 444-5353

1124 E Ridgewood Ave
Ste 105
Ridgewood, NJ 07450
Phone (201) 444-5353

1200 E Ridgewood Ave
Fl 2
Ridgewood, NJ 07450
Phone (201) 444-0868

Interoperability endpoints

  • Direct secure messaging: jbernheim189425@ahs.direct-ci.com
  • Direct secure messaging: joshua.bernheim.1@20779.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255375374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 WESTMINSTER AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213915",
            "telephone_number": "201-244-5102",
            "fax_number": "201-444-8848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E RIDGEWOOD AVE",
            "address_2": "WEST WING 2ND FLOOR",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-444-5353",
            "fax_number": "201-444-8848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHEIM",
        "first_name": "JOSHUA",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA07732500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.