Individual provider Active NPI

Eric Ferenc Bernstein, M.D.

  • Dermatology Physician
  • Ardmore, PA
National Provider Identifier
1336183383
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD045790L Issued in PA
Practice address
32 Parking PLZ
Suite 200
Ardmore, PA 19003-2415
Phone
(610) 645-5551
Fax
(610) 645-5151
NPI assigned
Jun 16, 2006
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD045790L PA Primary

Addresses

Primary practice location

32 Parking PLZ
Suite 200
Ardmore, PA 19003-2415

Mailing address

PO Box 85
Gladwyne, PA 19035-0085
Phone (610) 645-5551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20071120000429 PA Practitioner - Dermatology 4385660455

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD045790LPAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laser Surgery and Cosmetic Dermatology Centers Inc Dermatology CurrentSince Oct 9, 1996 Accepting new patients

Locations

504 Lippincott Dr
Marlton, NJ 08053
Phone (856) 751-9560

32 Parking Plz
Ste 200
Ardmore, PA 19003
Phone (610) 645-5551

Organizations & group practices 1

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1336183383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190350085",
            "telephone_number": "610-645-5551",
            "fax_number": "610-645-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 PARKING PLZ",
            "address_2": "SUITE 200",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032415",
            "telephone_number": "610-645-5551",
            "fax_number": "610-645-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ERIC",
        "middle_name": "FERENC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD045790L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, PA

Sources for this page

Verify at the official NPI Registry.