Robert James Bertholf II

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

282784 Issued in NY

Practice address

252 Main St
Goshen, NY 10924-2178

Phone

(845) 292-2127

NPI assigned

May 22, 2010

Last updated

May 22, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1274486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274486400000",
    "number": "1760701346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-292-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 MAIN ST",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109242178",
            "telephone_number": "845-292-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHOLF",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-22",
        "last_updated": "2010-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "282784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Virginia Bell, LMSW
• Kathiana Bellanton
• Danielle Benson, COTA
• Julie Benzenberg
• Mark J Bernstein, MD
• Raymond Karl Berweger, D.M.D.
• Paul Beswick, OD
• Petr Bezdicek, MD
• Biofeedback Holistic Center LLC
• Brianna Marie Blair, OTR/L

• Licensed Practical Nurse in Goshen, NY
• Providers in Goshen, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.