Individual provider Active NPI

Adam D Bernstein, M.D.

  • Orthopaedic Surgery Physician
  • Fair Lawn, NJ
National Provider Identifier
1780643882
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA07597400 Issued in NJ
Practice address
28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913
Phone
(201) 791-4434
Fax
(201) 475-8996
NPI assigned
Mar 20, 2006
Last updated
Jul 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 25MA07597400 NJ Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 25MA07597400 NJ

Addresses

Primary practice location

28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913

Mailing address

28-04 Broadway
Garden State Orthopaedic Associates, P.a.
Fair Lawn, NJ 07410-3913
Phone (201) 791-4434

Other identifiers 1

IdentifierTypeStateIssuer
3332608MedicaidNJ

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110204000071 NJ Practitioner - Orthopedic Surgery 4880781491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

925 Clifton Ave
Suite 106
Clifton, NJ 07013-2724
Phone (973) 330-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07597400NJMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery Current Accepting new patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery CurrentSince Sep 4, 2003 Accepting new patients
Garden State Orthopaedic Associates, P.a. CurrentSince Sep 4, 2003 Accepting new patients
Garden State Orthopaedic Associates, P.a. Orthopaedic Surgery Past Accepting new patients
Garden State Surgical Center, LLC Past Accepting new patients

Locations

925 Clifton Ave
Ste 106
Clifton, NJ 07013
Phone (973) 330-0700

28-04 Broadway
Fair Lawn, NJ 07410
Phone (201) 791-4434

400 Franklin Tpke
Ste 112
Mahwah, NJ 07430
Phone (201) 825-2266

400 Franklin Tpke
Ste 400
Mahwah, NJ 07430
Phone (201) 825-2266

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1780643882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-475-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28-04 BROADWAY",
            "address_2": "GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103913",
            "telephone_number": "201-791-4434",
            "fax_number": "201-475-8996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "ADAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA07597400",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA07597400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3332608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.