Provider Demographics
NPI:1639338783
Name:BERNHEIM, OREN (MD)
Entity Type:Individual
Prefix:DR
First Name:OREN
Middle Name:
Last Name:BERNHEIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 HAMBURG TPKE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2156
Mailing Address - Country:US
Mailing Address - Phone:862-336-9988
Mailing Address - Fax:862-336-9987
Practice Address - Street 1:246 HAMBURG TPKE
Practice Address - Street 2:SUITE 203
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2156
Practice Address - Country:US
Practice Address - Phone:862-336-9988
Practice Address - Fax:862-336-9987
Is Sole Proprietor?:No
Enumeration Date:2008-06-04
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09478700207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0410799Medicaid