Individual provider Active NPI

Ronald R Bernardini, DC

  • Chiropractor
  • Lake Ronkonkoma, NY
National Provider Identifier
1639177918
Registry record updated May 6, 2008
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Sep 19, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X002929 Issued in NY
Practice address
201 Portion Rd
Lake Ronkonkoma, NY 11779-2341
Phone
(631) 981-1333
Fax
(631) 981-6766
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X002929 NY Primary

Addresses

Primary practice location

201 Portion Rd
Lake Ronkonkoma, NY 11779-2341

Mailing address

201 Portion Rd
Lake Ronkonkoma, NY 11779-2341
Phone (631) 981-1333

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
X002929NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1639177918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792341",
            "telephone_number": "631-981-1333",
            "fax_number": "631-981-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PORTION RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117792341",
            "telephone_number": "631-981-1333",
            "fax_number": "631-981-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDINI",
        "first_name": "RONALD",
        "middle_name": "R",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Ronkonkoma, NY

Sources for this page

Verify at the official NPI Registry.