Individual provider Active NPI

Maria Joyce Rowena Bernabe, MD

  • Dermatology Physician
  • Old Bridge, NJ
National Provider Identifier
1528203809
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
25MA08412800 Issued in NJ
Practice address
3548 Route 9
Old Bridge, NJ 08857-2953
Phone
(732) 679-6300
Fax
(732) 244-8482
NPI assigned
Dec 15, 2008
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MA08412800 NJ Primary
Family Medicine Physician 207Q00000X 25MA08412800 NJ

Addresses

Primary practice location

3548 Route 9
Old Bridge, NJ 08857-2953

Mailing address

P.O. Box 4979
Toms River, NJ 08754-4979
Phone (732) 244-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000235 NJ Practitioner - Family PracticePractitioner - Dermatology 6608928452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Dermatology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carteret Medical Enterprise IncGroup PAC ID 9234026444, 5 clinicians
Dermatology Associates of Central New Jersey PAGroup PAC ID 4688697394, 11 clinicians

Practice addresses (Care Compare)

125 Washington Ave
Carteret, NJ 07008-2946
Phone (732) 541-6521

28 Throckmorton LN
Suite 204
Old Bridge, NJ 08857-2558
Phone (732) 679-6300

3548 Route 9
Old Bridge, NJ 08857-2765
Phone (732) 679-6300

3548 Route 9 S
Suite 2
Old Bridge, NJ 08857-2765

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions610
Removal or shaving of skin growth113
Skin biopsy949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08412800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Central New Jersey, PA CurrentSince Jul 1, 2015 Accepting new patients
Rutgers Health-RWJ Scleroderma Program Dermatology CurrentSince Nov 28, 2018 Accepting new patients
Hudson MD Group Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Carteret Medical Enterprise Inc CurrentSince Aug 1, 2020 Accepting new patients
Shonta D Collins Consulting Group LLC PastSince Feb 23, 2020 Accepting new patients
David W. Lee MD PA PastSince Feb 6, 2007 Accepting new patients

Locations

125 Washington Ave
Carteret, NJ 07008
Phone (201) 687-1208

1625 Anderson Ave
Ste 204
Fort Lee, NJ 07024
Phone (201) 224-0011

250 South St
Freehold, NJ 07728
Phone (732) 780-7870

57 Schanck Rd
Ste C-6
Freehold, NJ 07728
Phone (732) 679-6300

822 N Wood Ave
Ste 201
Linden, NJ 07036
Phone (732) 492-7936

317 George St
Ste 100
New Brunswick, NJ 08901
Phone (732) 235-8993

28 Throckmorton Ln
Ste 204
Old Bridge, NJ 08857
Phone (732) 679-6300

3548 US Highway 9
Old Bridge, NJ 08857
Phone (732) 679-6300

3548 US Highway 9
Ste 2
Old Bridge, NJ 08857
Phone (732) 679-6300

188 Market St
Perth Amboy, NJ 08861
Phone (732) 442-4251

1 Worlds Fair Dr
Ste 2400
Somerset, NJ 08873
Phone (732) 235-7993

440 Chestnut St
Ste 101
Union, NJ 07083

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1528203809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4979",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087544979",
            "telephone_number": "732-244-4700",
            "fax_number": "732-244-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3548 ROUTE 9",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572953",
            "telephone_number": "732-679-6300",
            "fax_number": "732-244-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNABE",
        "first_name": "MARIA JOYCE",
        "middle_name": "ROWENA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MA08412800",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08412800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.