Active NPI
Bernard Rene Alter, MD
- Surgery Physician
- Brooklyn, NY
National Provider Identifier
1497817696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 139812
- Practice address
- 532 Neptune Avenue
Suite #209
Brooklyn, NY 11224-4008 - Phone
- (718) 449-8860
- Fax
- (718) 372-4233
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 139812 | NY | Primary |
Addresses
Primary practice location
532 Neptune Avenue
Suite #209
Brooklyn, NY 11224-4008
Mailing address
127 Wolf Avenue
Malverne, NY 11565-1523
Phone (516) 596-0353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00843494 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110311000399 | NY | Practitioner - General Surgery | 2466634423 | Practice locations: Brooklyn, NY; Malverne, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Past | Accepting new patients | |
| Morris Westfried MD PC | Past | Accepting new patients |
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.
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- NPI 1164689188
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497817696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 WOLF AVENUE",
"city": "MALVERNE",
"state": "NY",
"postal_code": "115651523",
"telephone_number": "516-596-0353",
"fax_number": "516-596-3923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 NEPTUNE AVENUE",
"address_2": "SUITE #209",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112244008",
"telephone_number": "718-449-8860",
"fax_number": "718-372-4233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTER",
"first_name": "BERNARD",
"middle_name": "RENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "139812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00843494",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.