Active NPI
Dana Lee Bernbach, CPNP, CNNP
- Pediatric Nurse Practitioner
- New Bedford, MA
National Provider Identifier
1427243138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN2381947
- Practice address
- New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740 - Phone
- (508) 992-6553
- Fax
- (508) 997-2498
- NPI assigned
- Sep 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 453840 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | 381794 | NY | |
| Pediatric Nurse Practitioner | 363LP0200X | RN2381947 | MA | Primary |
Addresses
Primary practice location
New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740
Mailing address
New Bedford Community Health
874 Purchase Street
New Bedford, MA 02740-6232
Phone (508) 992-6553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 453840 | NY | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children'S Health Physicians, LLP | Current | Accepting new patients | |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Greater New Bedford Community Health Center, Inc. | Current | Accepting new patients | |
| Greater New Bedford Community Health Center, Inc. | Current | Accepting new patients |
Locations
874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553
171 Route 202
Garnerville, NY 10923
Phone (845) 947-1772
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dbernbach45707@direct.ctc.masshiway.net
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.
-
- Community Health Clinic/Center
- New Bedford, MA
- NPI 1982607537
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Community Health Clinic/Center
- Wareham, MA
- NPI 1073993937
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1427243138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NEW BEDFORD COMMUNITY HEALTH",
"address_2": "874 PURCHASE STREET",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "027406232",
"telephone_number": "508-992-6553",
"fax_number": "508-997-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NEW BEDFORD COMMUNITY HEALTH",
"address_2": "874 PURCHASE STREET",
"city": "NEW BEDFORD",
"state": "MA",
"postal_code": "02740",
"telephone_number": "508-992-6553",
"fax_number": "508-997-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNBACH",
"first_name": "DANA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "CPNP, CNNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-06",
"last_updated": "2024-03-01",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "NY",
"license": "453840",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "381794",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2381947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.