Individual provider Active NPI

Larry Jay Bernstein, MD

  • Allergy & Immunology Physician
  • Forest Hills, NY
National Provider Identifier
1851380950
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
143184 Issued in NY
Practice address
7235 112TH St
PR-5
Forest Hills, NY 11375-5469
Phone
(718) 544-6641
Fax
(718) 544-6656
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 143184 NY Primary

Addresses

Primary practice location

7235 112TH St
PR-5
Forest Hills, NY 11375-5469

Mailing address

7050 173Rd St
Fresh Meadows, NY 11365-3450

Other identifiers 1

IdentifierTypeStateIssuer
00790836MedicaidNY

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040414001827 NY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 8022003649 Reassigns benefits to 1 organization
Practice locations: Forest Hills, NY

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321

Hospital & facility affiliations

  • Montefiore Medical Center Hospital, Bronx, NY, CCN 330059

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143184NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2010 Accepting new patients

Locations

1180 Morris Park Ave
Bronx, NY 10461
Phone (718) 829-1500

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

1055 E Tremont Ave
Bronx, NY 10460
Phone (718) 842-8040

1578 Williamsbridge Rd
Ste 2D
Bronx, NY 10461
Phone (718) 863-8465

111 E 210th St
#2
Bronx, NY 10467
Phone (718) 920-5057

1825 Eastchester Rd
#C
Bronx, NY 10461
Phone (718) 544-6641

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1851380950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 173RD ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 112TH ST",
            "address_2": "PR-5",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755469",
            "telephone_number": "718-544-6641",
            "fax_number": "718-544-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSTEIN",
        "first_name": "LARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "143184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00790836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

Verify at the official NPI Registry.