Individual provider Active NPI

Violet Bernknopf

  • Family Nurse Practitioner
  • Tinton Falls, NJ
National Provider Identifier
1275938177
Registry record updated Nov 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00520400 Issued in NJ
Practice address
4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945
Phone
(732) 212-0150
Fax
(732) 784-9170
NPI assigned
Nov 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00520400 NJ Primary

Addresses

Primary practice location

4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945

Mailing address

4 Hartford Dr Ste 1
Tinton Falls, NJ 07701-4945
Phone (732) 212-0150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1275938177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR STE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014945",
            "telephone_number": "732-212-0150",
            "fax_number": "732-784-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 HARTFORD DR STE 1",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "077014945",
            "telephone_number": "732-212-0150",
            "fax_number": "732-784-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNKNOPF",
        "first_name": "VIOLET",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-04",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00520400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.