Individual provider Active NPI

Joel Augustin Bernhard, D.M.D.

  • General Practice Dentistry
  • East Hanover, NJ
National Provider Identifier
1447447867
Registry record updated Sep 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI13698 Issued in NJ
Practice address
40 Eagle Rock Ave
B
East Hanover, NJ 07936-3104
Phone
(973) 887-9393
NPI assigned
Sep 30, 2007
Last updated
Sep 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DI13698 NJ Primary

Addresses

Primary practice location

40 Eagle Rock Ave
B
East Hanover, NJ 07936-3104

Mailing address

40B Eagle Rock Ave
B
East Hanover, NJ 07936-3104
Phone (973) 887-9393

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
DI13698NJMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191110400000",
    "number": "1447447867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40B EAGLE ROCK AVE",
            "address_2": "B",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-887-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EAGLE ROCK AVE",
            "address_2": "B",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363104",
            "telephone_number": "973-887-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHARD",
        "first_name": "JOEL",
        "middle_name": "AUGUSTIN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI13698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; 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.