Provider Demographics
NPI:1780643882
Name:BERNSTEIN, ADAM D (MD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:D
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:28-04 BROADWAY
Mailing Address - Street 2:GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-3913
Mailing Address - Country:US
Mailing Address - Phone:201-791-4434
Mailing Address - Fax:201-475-8996
Practice Address - Street 1:28-04 BROADWAY
Practice Address - Street 2:GARDEN STATE ORTHOPAEDIC ASSOCIATES, P.A.
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-3913
Practice Address - Country:US
Practice Address - Phone:201-791-4434
Practice Address - Fax:201-475-8996
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07597400207X00000X, 207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3332608Medicaid
NJ3332608Medicaid
NJH94950Medicare UPIN
NJBE073503Medicare ID - Type Unspecified