Active NPI
Thomas Bernik, M.D.
- Vascular Surgery Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 205608
- Practice address
- 20 W 13TH St
New York, NY 10011-7902 - Phone
- (212) 838-3055
- NPI assigned
- Jun 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 205608 | NY | Primary |
Addresses
Primary practice location
20 W 13TH St
New York, NY 10011-7902
Mailing address
PO Box 95000-2424
Philadelphia, PA 19195-2424
Phone (212) 838-3055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02317893 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160119002747 | NJ | Practitioner - Vascular Surgery | 8022009372 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- George Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Medical Associates of Englewood PC
Practice addresses (Care Compare)
24 Elm St
Harrington Park, NJ 07640-1902
Phone (201) 451-1601
350 Engle S
5TH FL Room 5518
Englewood, NJ 07631-1808
Phone (201) 568-5250
350 Engle St
Englewood, NJ 07631-1808
350 Engle St Main
Suite 256
Englewood, NJ 07631-1808
Phone (201) 894-3364
Hospital & facility affiliations
- Amedisys Home Health
- Visiting Nurse Association of Englewood, Inc
- Englewood Hospital and Medical Center
- Hackensack University Medical Center
- Holy Name Medical Center
- Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 32 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Associates of Englewood, PC | Current | Accepting new patients | |
| Englewood Hospital and Medical Center | Past | Accepting new patients | |
| Bimc Faculty Practice | Past | Accepting new patients | |
| St Vincents Hospital and Medical Center | Past | Accepting new patients |
Locations
350 Engle St
#2E
Englewood, NJ 07631
Phone (201) 227-5533
180 Engle St
Englewood, NJ 07631
Phone (201) 567-2050
350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073
22-02 Broadway
Ste 301
Fair Lawn, NJ 07410
Phone (201) 414-5016
24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123
Interoperability endpoints
- tbernik236780@direct.englewoodhealth.org
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 and National Provider Directory roles.
-
- Surgery Physician
- New York, NY
- NPI 1477756898
-
- Specialist
- New York, NY
- NPI 1285746354
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Hackensack, NJ
- NPI 1952402737
-
- General Acute Care Hospital
- Englewood, NJ
- NPI 1083612881
Hospital
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Teaneck, NJ
- NPI 1043389349
Hospital
-
- Home Health Agency
- Englewood, NJ
- NPI 1376528224
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": "1391990400000",
"number": "1366486441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2424",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191952424",
"telephone_number": "212-838-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 W 13TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100117902",
"telephone_number": "212-838-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNIK",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-16",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "205608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02317893",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.