Active NPI
Gary Richard Bernstein, MD
- Gastroenterology Physician
- East Setauket, NY
National Provider Identifier
1407813579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 153723
- Practice address
- 3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327 - Phone
- (631) 751-8711
- Fax
- (631) 751-5971
- NPI assigned
- May 1, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 153723 | NY | Primary |
Addresses
Primary practice location
3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Mailing address
3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Phone (631) 751-8711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00951717 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3400 Nesconset Hwy
Suite 101
East Setauket, NY 11733-3327
Phone (631) 751-8700
Hospital & facility affiliations
- John T Mather Memorial Hospital of Port Jefferson
- Suny/Stony Brook University Hospital
- North Shore University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 169 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 124 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Services of Setauket, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
1500 Route 112
Bldg 5
Port Jefferson Station, NY 11776
Phone (631) 470-1450
3400 Nesconset Hwy
Ste 101
Setauket, NY 11733
Phone (631) 751-8700
6144 Route 25A
Ste D21
Wading River, NY 11792
Phone (631) 751-8700
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
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 and National Provider Directory roles.
-
- Gastroenterology Physician
- East Setauket, NY
- NPI 1861026106
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jefferson, NY
- NPI 1093718728
-
- General Acute Care Hospital
- Manhasset, NY
- NPI 1366459570
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348099200000",
"number": "1407813579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 NESCONSET HWY",
"address_2": "SUITE 101",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333327",
"telephone_number": "631-751-8711",
"fax_number": "631-751-5971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 NESCONSET HWY",
"address_2": "SUITE 101",
"city": "EAST SETAUKET",
"state": "NY",
"postal_code": "117333327",
"telephone_number": "631-751-8711",
"fax_number": "631-751-5971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNSTEIN",
"first_name": "GARY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "153723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951717",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Setauket, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2012; 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.