Joshua William Bernheim, M.D.
Individual provider Active NPI Vascular Surgery Physician · Ridgewood, NJ
NPI 1255375374 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1255375374
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular Surgery Physician 2086S0129X
- License
- 25MA07732500 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Hospital & facility affiliations 13
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
1124 E Ridgewood Ave
Suite 105
Ridgewood, NJ 07450-3943
Phone (201) 444-5353
Hospital & facility affiliations
- Valley Hospital
- Hackensack Meridian Health Pascack Valley Medical
- Bergen New Bridge Medical Center
- Hospital for Special Surgery
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.05 of 100
- Quality
- 85.71
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 39 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040915000114 | NJ | Practitioner - Vascular Surgery | 0749257137 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Endovascular Therapeutics PC | Vascular Surgery | Current |
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
- jbernheim189425@ahs.direct-ci.com
- joshua.bernheim.1@20779.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MA07732500 | NJ | Yes |
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
Other providers in Ridgewood, NJ
- Bergen Dermatology Specialists PA
- Bergen Psychiatric Care LLC
- Bergen Spine and Sport, LLC
- Bergen Valley Acupuncture
- Flora L Bernard
- Jill Bernice-Woehrle
- Andrew Bernstein
- Diana Bernstein
- Marjorie Swain Bernstein
- Rita M Bernstein
All providers in Ridgewood, NJ · Vascular Surgery Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.