Jan Edward Bernie, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

35033087 Issued in OH

Practice address

60 E End Ave
Apt 25B
New York, NY 10028-7907

Phone

(212) 879-9474

Fax

(212) 879-1994

NPI assigned

Jun 6, 2006

Last updated

Nov 1, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Medicine

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.

• Dayton Physicians, LLC

  dba Dayton Physicians

  • Durable Medical Equipment & Medical Supplies
  • Dayton, OH
  • NPI 1811141559

  Urology

  NPD (past)

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1609815398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E END AVE",
            "address_2": "APT 25B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287907",
            "telephone_number": "212-879-9474",
            "fax_number": "212-879-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E END AVE",
            "address_2": "APT 25B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100287907",
            "telephone_number": "212-879-9474",
            "fax_number": "212-879-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNIE",
        "first_name": "JAN",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35033087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Bernhardt, PSY.D., M.S.
• Adam Marc Bernheim, M.D.
• Monica R Bernheim, LCSW
• Carla Bernich
• Raymond Bernick, M.D.
• Hans Bernier, LMSW
• Jean Ciara Bernier
• Nicole Bernier, LCSW, CASAC
• Pierre-Luc Bernier, M.D.
• Carolyn Bernieri

• Urology Physician in New York, NY
• Providers in New York, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; 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.