Individual provider Active NPI

Michael L Bernstein, MD

  • Specialist
  • Carmel, NY
National Provider Identifier
1265435549
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
122662 Issued in NY
Practice address
664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone
(845) 278-8400
Fax
(845) 278-4326
NPI assigned
May 31, 2005
Last updated
Nov 5, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 122662 NY Primary
Orthopaedic Surgery Physician 207X00000X 1226621 NY

Addresses

Primary practice location

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Other identifiers 2

IdentifierTypeStateIssuer
P00753565OtherNYRRMR PTAN
P00253709OtherNYMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040529000046 NY Practitioner - Orthopedic Surgery 8123009628 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122662NYMDSpecialist
1226621NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Jun 1, 2007 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Orthopaedic Surgery CurrentSince Jun 1, 2007 Accepting new patients
Nyconn Orthopaedic & Rehabalitation Specialists, PLLC Specialist Past Accepting new patients
Nyconn Orthopaedic & Rehabilitation Specialists Specialist Past Accepting new patients

Locations

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1265435549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123990",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123990",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "122662",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "1226621",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMR PTAN",
            "identifier": "P00753565",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00253709",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.