Active NPI
Adam Jeffrey Bernatsky, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00713
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Enrollment records 1
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00713 | NY | MD | Foot & Ankle Surgery Podiatrist |
| 007113 | NY | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital | Single Specialty | Current | Accepting new patients |
| University Hospital | Current | Accepting new patients | |
| University Hospital | Past | Accepting new patients | |
| University Physician Associates of New Jersey Inc | Single Specialty | Past | 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
- 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.
-
- Primary Podiatric Medicine Podiatrist
- Newark, NJ
- NPI 1871190140
Single Specialty
-
- Community/Retail Pharmacy
- Newark, NJ
- NPI 1306596390
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
-
- Family Medicine Physician
- Newark, NJ
- NPI 1467462168
Single Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newark, NJ
- NPI 1215998323
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.