Mr Jimmy Bernardin, APN | |
65 James St, Edison, NJ 08820-3947 | |
(732) 321-7000 | |
(732) 906-4929 |
Full Name | Mr Jimmy Bernardin |
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Gender | Male |
Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
Location | 65 James St, Edison, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629496047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 26NJ00184300 (New Jersey) | Primary |
Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
Mailing Address | Practice Location Address |
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Mr Jimmy Bernardin, APN 1249 Gurd Ave, Hillside, NJ 07205-2104 Ph: (908) 887-3826 | Mr Jimmy Bernardin, APN 65 James St, Edison, NJ 08820-3947 Ph: (732) 321-7000 |
Mrs. Shafiqa Popal, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7010 Fax: 732-654-1584 | |
Jiao Li, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 8606 Hana Rd, Edison, NJ 08817 Phone: 201-280-7915 | |
Ronald Cha, RN, ACNP-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 34-36 Progress St, Suite A-7, Edison, NJ 08820 Phone: 908-769-1440 Fax: 908-769-0945 | |
Mrs. Dolores Prontnicki, PMHCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 65 James St, Edison, NJ 08820 Phone: 732-321-7189 Fax: 732-906-4929 |