KATHLEEN LILE BERNARD (NPI# 1578959458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578959458 |
| Entity Type | Individual |
| Full Name | KATHLEEN LILE BERNARD |
| Credential | M.D. |
| Practice Address |
1824 Madison Ave New York NY 10035-3832 |
| Practice Telephone | 2122414300 |
| Mailing Telephone | 2122414300 |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2019-10-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 291422 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NY LICENSE | 291422 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891902730 | Kathleen M Bernard | Nurse Practitioner | 417 State St, Suite 421, Bangor, ME 04401-6630 | 2007-05-17 |
| Street Address |
1824 MADISON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245211416 | Maurice Joseph Martin | Family Medicine | 1824 Madison Ave, New York, NY 10035-3832 | 2005-11-07 |
| 1376156661 | Lazora Jordan | Social Worker | 1824 Madison Ave, New York, NY 10035-3832 | 2020-08-26 |
| 1013527522 | Ada Umubera | Social Worker | 1824 Madison Ave, New York, NY 10035-3832 | 2020-08-10 |
| 1013538552 | Owen Rockett | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-05-06 |
| 1124647540 | Mallika Govindan | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-04-15 |
| 1295364495 | Mark Louis Lorthe | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-04-08 |
| 1568099968 | Elizabeth Tamar Berg | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-03-25 |
| 1811523780 | Bianca Sade Hill | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-03-23 |
| 1710513692 | Mengxi Shi | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-03-23 |
| 1891321956 | Nicole Albstein | Student in an Organized Health Care Education/Training Program | 1824 Madison Ave, New York, NY 10035-3832 | 2020-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| 1164043378 | Weber Medical Care Pllc | Family Medicine | 10 Rutgers St Apt 4l, New York, NY 10002-7167 | 2020-04-28 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.