Active NPI
Carolina Biernacki, M.D.
- Child & Adolescent Psychiatry Physician
- New York, NY
National Provider Identifier
1477860658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 266969
- Practice address
- 511 W 157TH St
New York, NY 10032-7601 - Phone
- (212) 781-7979
- Fax
- (212) 781-7963
- NPI assigned
- Sep 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 266969 | NY | Primary |
Addresses
Primary practice location
511 W 157TH St
New York, NY 10032-7601
Mailing address
60 Madison Ave
5TH Floor
New York, NY 10010-1600
Phone (212) 545-2400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266969 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462924800000",
"number": "1477860658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2400",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 W 157TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100327601",
"telephone_number": "212-781-7979",
"fax_number": "212-781-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERNACKI",
"first_name": "CAROLINA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-08",
"last_updated": "2016-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "266969",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.