Individual provider Active NPI

Susan Marie Bernardi I, SPECIAL EDUCATOR

  • Specialist
  • Poughquag, NY
National Provider Identifier
1437410586
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
SPECIAL EDUCATOR Issued in NY
Practice address
62 Woodland Dr
Poughquag, NY 12570-5440
Phone
(914) 475-8351
NPI assigned
Jun 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X SPECIAL EDUCATOR NY Primary

Addresses

Primary practice location

62 Woodland Dr
Poughquag, NY 12570-5440

Mailing address

62 Woodland Dr
Poughquag, NY 12570-5440
Phone (914) 475-8351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SPECIAL EDUCATORNYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1437410586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WOODLAND DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705440",
            "telephone_number": "914-475-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WOODLAND DR",
            "city": "POUGHQUAG",
            "state": "NY",
            "postal_code": "125705440",
            "telephone_number": "914-475-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDI",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "SPECIAL EDUCATOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "SPECIAL EDUCATOR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughquag, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.