Individual provider Active NPI

Bernard D Kelberg, D.O.

  • Family Medicine Physician
  • Hamilton, NJ
National Provider Identifier
1841264025
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB02059300 Issued in NJ
Practice address
1235 Whitehorse Mercerville Rd
BLDG C, Suite 317
Hamilton, NJ 08619-3810
Phone
(609) 581-5150
Fax
(609) 581-5149
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB02059300 NJ Primary

Addresses

Primary practice location

1235 Whitehorse Mercerville Rd
BLDG C, Suite 317
Hamilton, NJ 08619-3810

Mailing address

1235 Whitehorse Mercerville Rd
BLDG C, Suite 317
Hamilton, NJ 08619-3810
Phone (609) 581-5150

Other identifiers 1

IdentifierTypeStateIssuer
2813009MedicaidNJ

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 Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Americare Medical Associates LLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18094/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1841264025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG C, SUITE 317",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5150",
            "fax_number": "609-581-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 WHITEHORSE MERCERVILLE RD",
            "address_2": "BLDG C, SUITE 317",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193810",
            "telephone_number": "609-581-5150",
            "fax_number": "609-581-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELBERG",
        "first_name": "BERNARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB02059300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2813009",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.