NPIMap

Organization Active NPI

Robert Bernholc MD PC

  • Anesthesiology Physician
  • Setauket, NY
National Provider Identifier
1972640761
Registry record updated Aug 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
ROBERT BERNHOLC MD PC
Practice address
13 E Gate LN
Setauket, NY 11733-1645
Phone
(631) 648-4471
Fax
(631) 648-4478
NPI assigned
Jan 31, 2007
Last updated
Aug 28, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2007

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

Authorized official

Name
Rae Ferrari
Title
Biller
Phone
(631) 648-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

13 E Gate LN
Setauket, NY 11733-1645

Mailing address

13 E Gate LN
Setauket, NY 11733-1645
Phone (631) 648-4471

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1972640761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 E GATE LN",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331645",
            "telephone_number": "631-648-4471",
            "fax_number": "631-648-4478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E GATE LN",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117331645",
            "telephone_number": "631-648-4471",
            "fax_number": "631-648-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BERNHOLC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "FERRARI",
        "authorized_official_first_name": "RAE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "631-648-4471"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.