Individual provider Active NPI

Raffaele Mario Bernardo, DO, FACP, AAHIVS

  • Internal Medicine Physician
  • Paramus, NJ
National Provider Identifier
1871811711
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB09323700 Issued in NJ
Practice address
95 N State RT 17 Ste 105
Paramus, NJ 07652-2648
Phone
(201) 612-4735
NPI assigned
May 16, 2010
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB09323700 NJ Primary
Infectious Disease Physician 207RI0200X 291639 NY
Infectious Disease Physician 207RI0200X 25MB09323700 NJ

Addresses

Primary practice location

95 N State RT 17 Ste 105
Paramus, NJ 07652-2648

Mailing address

95 N State RT 17 Ste 105
Paramus, NJ 07652-2648
Phone (201) 612-4735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180405001108 NY Practitioner - Infectious Disease 0941521553 Reassigns benefits to 1 organization
I20240105002054 NJ Practitioner - Internal Medicine 0941521553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Services PCGroup PAC ID 3577857333, 593 clinicians

Practice addresses (Care Compare)

108 Jackson St
Apt 6B
Hoboken, NJ 07030-6101
Phone (800) 825-5391

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.05 of 100Reported as apm
Quality
85.71
Promoting interoperability
100
Improvement activities
40

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB09323700NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Internal Medicine CurrentSince Feb 16, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Feb 16, 2018 Accepting new patients
Valley Physician Services PC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients

Locations

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

111 E 210th St
Bronx, NY 10467

3230 Bainbridge Ave
Bronx, NY 10467
Phone (718) 882-5482

Interoperability endpoints

  • Direct secure messaging: raffaele.bernardo.1@5622.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1871811711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 N STATE RT 17 STE 105",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522648",
            "telephone_number": "201-612-4735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 N STATE RT 17 STE 105",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522648",
            "telephone_number": "201-612-4735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNARDO",
        "first_name": "RAFFAELE",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DO, FACP, AAHIVS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-16",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB09323700",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "291639",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MB09323700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.