Fidel Rellama Bernardo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00921400 Issued in NJ

Practice address

714 W White Horse Pike
Suite B
Egg Harbor City, NJ 08215-3838

Phone

(609) 965-9552

Fax

(609) 965-9553

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ambassadors Health Care LLC

  • Home Health Agency
  • Galloway, NJ
  • NPI 1902661754

  Physical Therapist

  Medicare reassignment NPD
• Denville Medical Health Center & Sports Rehab P.C.

  • Chiropractor
  • Denville, NJ
  • NPI 1003836420
  NPD (past)
• Hands-on Plus Spine & Orthopedic Physical Therapy

  • Physical Therapist
  • Egg Harbor City, NJ
  • NPI 1346308897
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386704435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 EXETER CT",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082056682",
            "telephone_number": "609-965-9552",
            "fax_number": "609-965-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W WHITE HORSE PIKE",
            "address_2": "SUITE B",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082153838",
            "telephone_number": "609-965-9552",
            "fax_number": "609-965-9553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "FIDEL",
        "middle_name": "RELLAMA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00921400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2342235000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apryl Anis
• Danielle Ardolina
• Atlanticare Physician Group (AtlantiCare Family Medicine)
• Samer Awad
• Kalynn Basso
• Larelisa Marie Ramos Bernardo, PT
• Gerald Saul Brooks, DDS
• Amie N Bruckler, LPN
• Career Opportunity Development Inc
• Career Opportunity Development, Inc.

• Physical Therapist in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.