Active NPI
Jennifer Winborne, FNP-BC
- Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00809500
- Practice address
- 1176 5TH Ave
1St Floor
New York, NY 10029-6503 - Phone
- (212) 241-6500
- NPI assigned
- May 12, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00809500 | NJ | Primary |
Addresses
Primary practice location
1176 5TH Ave
1St Floor
New York, NY 10029-6503
Mailing address
1176 5TH Ave
1St Floor
New York, NY 10029-6503
Phone (212) 241-6500
Other names 1
- Jennifer Bernhardt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00809500 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care of New Jersey PC | Current | Accepting new patients | |
| Regional Women'S Health Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Regional Womens Health Group LLC | Current | Accepting new patients | |
| Optum Medical Care of New Jersey PC | Current | Accepting new patients |
Locations
935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012
158 14th St
Hoboken, NJ 07030
Phone (201) 869-5488
338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838
714 10th St
Secaucus, NJ 07094
Phone (201) 863-3346
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
Nurse Practitioner
-
- Durable Medical Equipment & Medical Supplies
- Belleville, NJ
- NPI 1255050902
-
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528416000000",
"number": "1992151526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 5TH AVE",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1176 5TH AVE",
"address_2": "1ST FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296503",
"telephone_number": "212-241-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINBORNE",
"first_name": "JENNIFER",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-12",
"last_updated": "2018-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00809500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BERNHARDT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.