Physician Compare National (NPI:1619122207)

HEALTHCARE PROVIDER: JASON BERNSTEIN PT

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1619122207
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0941429294
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20140918000588
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BERNSTEIN
	Individual professional last name
Provider First Name	JASON
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	67 CARMAN AVE
	Group Practice or individual's line 1 address
City	CEDARHURST
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	115161904
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5163131679
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M