Active NPI
Shelley Bertino, BCBA
- Behavior Analyst
- New Brunswick, NJ
National Provider Identifier
1689382525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 151 Ryders LN
New Brunswick, NJ 08901-8557 - Phone
- (848) 702-0967
- NPI assigned
- Nov 9, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
151 Ryders LN
New Brunswick, NJ 08901-8557
Mailing address
10 Nicholas CT
Milltown, NJ 08850-1619
Phone (609) 774-1223
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sbertino@dddc.rutgers.edu | Direct | Rutgers University - Douglass Developmental Disabilities Center |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1689382525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NICHOLAS CT",
"city": "MILLTOWN",
"state": "NJ",
"postal_code": "088501619",
"telephone_number": "609-774-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 RYDERS LN",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089018557",
"telephone_number": "848-702-0967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTINO",
"first_name": "SHELLEY",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-09",
"last_updated": "2022-11-09",
"certification_date": "2022-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbertino@dddc.rutgers.edu",
"affiliation": "Y",
"endpointDescription": "Rutgers University Employee email",
"affiliationName": "Rutgers University - Douglass Developmental Disabilities Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "151 Ryders Ln",
"city": "New Brunswick",
"state": "NJ",
"country_code": "US",
"postal_code": "089018557",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.