Active NPI
Joseph Bernadotte, MD
- Psychiatry Physician
- Brooklyn, NY
National Provider Identifier
1770697286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 151875
- Practice address
- 2640 Pitkin Ave
Brooklyn, NY 11208-2629 - Phone
- (718) 827-8700
- Fax
- (718) 827-8848
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 151875 | NY | Primary |
Addresses
Primary practice location
2640 Pitkin Ave
Brooklyn, NY 11208-2629
Mailing address
57 Willoughby St
2ND FL
Brooklyn, NY 11201-5290
Phone (212) 645-8111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LICENSE NUMBER | Other | NY | 151875 |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770697286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57 WILLOUGHBY ST",
"address_2": "2ND FL",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015290",
"telephone_number": "212-645-8111",
"fax_number": "212-645-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 PITKIN AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112082629",
"telephone_number": "718-827-8700",
"fax_number": "718-827-8848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNADOTTE",
"first_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "151875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "151875",
"identifier": "LICENSE NUMBER",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.