Organization Active NPI

Sara J Bernstein MD LC

  • Obstetrics & Gynecology Physician
  • Wellington, FL
National Provider Identifier
1851366934
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME 79627 Issued in FL
Legal business name
SARA J BERNSTEIN MD LC
Practice address
10131 W Forest Hill Blvd
Suite 130
Wellington, FL 33414-6156
Phone
(561) 784-1933
Fax
(561) 784-5109
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Sara J Bernstein, M.D.
Title
Managing Member
Phone
(561) 784-1933

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X ME 79627 FL Primary

Addresses

Primary practice location

10131 W Forest Hill Blvd
Suite 130
Wellington, FL 33414-6156

Mailing address

11924 W Forest Hill Blvd
Suite 22-313
Wellington, FL 33414-6256
Phone (561) 784-1933

Other identifiers 12

IdentifierTypeStateIssuer
20-1124411OtherFLDIMENSION HEALTH
20-1124411OtherFLGREAT WEST
20-1124411OtherFLPRIVATE HEALTHCARE SYSTEM
264231000MedicaidFL
298473OtherFLAVMED
7531723OtherFLCIGNA
51338OtherFLBLUE CROSS / BLUE SHIELD
45664OtherFLNEIGHBORHOOD HEALTH
20-1124411OtherFLUNITED
7872461OtherFLAETNA
20-1124411OtherFLBEECH STREET
20-1124411OtherFLONE-SOURCE

Other names 1

  • Sara J Bernstein MD PA Former legal business name

National Provider Directory

National Provider Directory

Locations

11924 Forest Hill Blvd
Ste 22313
Wellington, FL 33414

10111 Forest Hill Blvd
Rm 261
Wellington, FL 33414
Phone (561) 784-1933

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1851366934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11924 W FOREST HILL BLVD",
            "address_2": "SUITE 22-313",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146256",
            "telephone_number": "561-784-1933",
            "fax_number": "561-784-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10131 W FOREST HILL BLVD",
            "address_2": "SUITE 130",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146156",
            "telephone_number": "561-784-1933",
            "fax_number": "561-784-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA J BERNSTEIN MD LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-784-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME 79627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION HEALTH",
            "identifier": "20-1124411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "20-1124411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HEALTHCARE SYSTEM",
            "identifier": "20-1124411",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264231000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "298473",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7531723",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "51338",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "45664",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "20-1124411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7872461",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "20-1124411",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ONE-SOURCE",
            "identifier": "20-1124411",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara J Bernstein MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.