Jaroslaw Bernas, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

233512 Issued in NY

Practice address

79 Middleville Rd
Northport, NY 11768-2200

Phone

(631) 754-7978

Fax

(631) 266-6051

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1811080385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-754-7978",
            "fax_number": "631-266-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 MIDDLEVILLE RD",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682200",
            "telephone_number": "631-754-7978",
            "fax_number": "631-266-6051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "632 Oak St",
            "address_purpose": "LOCATION",
            "city": "Copiague",
            "state": "NY",
            "postal_code": "117263217",
            "country_code": "US",
            "telephone_number": "631-400-4127",
            "fax_number": "631-400-4134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNAS",
        "first_name": "JAROSLAW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Nicole Bartlett
• Gina Marie Baudille, LMFT
• Joanne Bauman, LMHC
• Orman Charles Beach Sr., MS
• Atman Bengeloun, MD
• Layna Elizabeth Berta, M.A., CF-SLP, TSSLD
• Martha Berti, SLP
• Matthew Brabin Bessell, LCSW
• Nichelle Betard-Boyd, LPN
• Sheewani Bhugwansing, OD

• All providers in Northport, NY
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.