Individual provider Active NPI

Adam Jeffrey Bernatsky, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Newark, NJ
National Provider Identifier
1760837140
Registry record updated Sep 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00713 Issued in NY
Practice address
150 Bergen St
Newark, NJ 07103-2496
Phone
(973) 972-5088
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 00713 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

150 Bergen St
Newark, NJ 07103-2496

Mailing address

150 Bergen St # G-142
Newark, NJ 07103-2496
Phone (973) 972-5088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000029 NJ Practitioner - Podiatry 1153741269 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 W 93Rd St
Apt 30E
New York, NY 10025-7598

65 Bergen St
Suite 120
Newark, NJ 07101-6750

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00713NYMDFoot & Ankle Surgery Podiatrist
007113NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
University Hospital CurrentSince Jul 1, 2021 Accepting new patients
University Hospital Past Accepting new patients
University Physician Associates of New Jersey Inc Single Specialty PastSince Sep 28, 2021 Accepting new patients

Locations

150 Bergen St
#G142
Newark, NJ 07103
Phone (201) 638-4061

140 Bergen St
Ste 1600
Newark, NJ 07103

65 Bergen St
Newark, NJ 07107
Phone (973) 972-0186

150 Bergen St
Newark, NJ 07103
Phone (973) 972-6056

140 Bergen St
Newark, NJ 07103
Phone (973) 972-0320

Interoperability endpoints

  • Direct secure messaging: abernatsky779764@nychhc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632009600000",
    "number": "1760837140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST # G-142",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071032496",
            "telephone_number": "973-972-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNATSKY",
        "first_name": "ADAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-09-19",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "00713",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.