NPIMap

Organization Active NPI

Bernard J. Durante, MD,PC

Doing business as South Shore Sleep Diagnostics

  • Sleep Specialist (PhD)
  • Hyannis, MA
National Provider Identifier
1275083057
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
License
58069 Issued in MA
Legal business name
BERNARD J. DURANTE, MD,PC
Doing business as
South Shore Sleep Diagnostics
Practice address
104 Park St
Hyannis, MA 02601-5206
Phone
(508) 746-8977
Fax
(508) 747-9680
NPI assigned
Oct 5, 2016
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Mrs. Melissa Marie Higbie
Title
Medical Billing Manager
Phone
(508) 746-8977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD) 173F00000X 58069 MA Primary

Addresses

Primary practice location

104 Park St
Hyannis, MA 02601-5206

Mailing address

30 Aldrin Rd
Plymouth, MA 02360-4804
Phone (508) 746-8977

Other names 1

  • South Shore Sleep Diagnostics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000665 MA Part B Supplier - Clinic/Group Practice 3577539410 Receives reassigned benefits from 21 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plymouth, MA; Weymouth, MA; Hyannis, MA; Bourne, MA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Bernard J Durante MDPC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

104B Park St
Hyannis, MA 02601
Phone (508) 862-5650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1275083057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ALDRIN RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604804",
            "telephone_number": "508-746-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PARK ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026015206",
            "telephone_number": "508-746-8977",
            "fax_number": "508-747-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD J. DURANTE, MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "HIGBIE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "508-746-8977",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "MA",
            "license": "58069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Shore Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Shore Sleep Diagnostics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.