Individual provider Active NPI

Christopher J Bertino, MPAS, PA-C

  • Physician Assistant
  • Schenectady, NY
National Provider Identifier
1487939872
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015229-1 Issued in NY
Practice address
1 River Rd BLDG 43
Schenectady, NY 12345-8309
Phone
(518) 385-7011
NPI assigned
Oct 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015229-1 NY Primary

Addresses

Primary practice location

1 River Rd BLDG 43
Schenectady, NY 12345-8309

Mailing address

1 River Rd
Schenectady, NY 12345-6000
Phone (518) 385-7011

Other identifiers 1

IdentifierTypeStateIssuer
03396782MedicaidNY

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015229NYMDSpeech-Language Pathologist
015229-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
NC Medical of Ny PC CurrentSince Dec 7, 2025 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

1 River Rd
Bldg 43
Schenectady, NY 12345
Phone (518) 385-7011

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1487939872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RIVER RD",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123456000",
            "telephone_number": "518-385-7011",
            "fax_number": "518-385-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RIVER RD BLDG 43",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123458309",
            "telephone_number": "518-385-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTINO",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-17",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015229-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03396782",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.