Nicholas A Bertha, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MB57191 Issued in NJ

Practice address

83 Hanover Rd Ste 190
Advanced Laparoscopic Surgeons of Morris
Florham Park, NJ 07932

Phone

(973) 410-9700

Fax

(973) 410-9703

NPI assigned

Nov 29, 2005

Last updated

Feb 11, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Advanced Laparoscopic Surgeons of Morris LLC

  • Surgery Physician
  • Florham Park, NJ
  • NPI 1982871653
  Authorized official Same address or phone
• Ahs Hospital Corp

  dba AHS Consolidated Labs

  • Clinical Medical Laboratory
  • Morristown, NJ
  • NPI 1871162834
  NPD (past)

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1598749020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 190",
            "address_2": "ADVANCED LAPAROSCOPIC SURGEONS OF MORRIS",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-410-9700",
            "fax_number": "973-410-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HANOVER RD STE 190",
            "address_2": "ADVANCED LAPAROSCOPIC SURGEONS OF MORRIS",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "07932",
            "telephone_number": "973-410-9700",
            "fax_number": "973-410-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHA",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MB57191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6493501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheila Sidney Bender, PHD
• Daphne Berkovits, LMFT
• Joan Goldin Berkowitz, L
• Harold S. Bernstein, M.D., PH.D.
• Robin L. Bernstein, MSW, LSW
• Kelly Beshaw, DC
• Better Life Recovery, LLC (Better Life Recovery & Wellness)
• Heather Bier, LSW
• Bioscrip Infusion Services, LLC (BioScrip Infusion Services)
• Bioscrip Infusion Services, LLC. (BioScrip Infusion Services)

• Surgery Physician in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.