Provider Demographics
NPI:1548262348
Name:BERNSTEIN, CHAIM J (MD)
Entity type:Individual
Prefix:DR
First Name:CHAIM
Middle Name:J
Last Name:BERNSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3131 KINGS HWY
Mailing Address - Street 2:SUITE D10
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-2644
Mailing Address - Country:US
Mailing Address - Phone:718-252-3590
Mailing Address - Fax:718-252-6957
Practice Address - Street 1:2000 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7356
Practice Address - Country:US
Practice Address - Phone:718-676-1028
Practice Address - Fax:718-252-6957
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-11
Last Update Date:2020-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY124773207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY48-00001OtherUNITED HEALTHCARE/MEDICAR
NYM2657OtherVYTRA HEALTH PLAN
NY110061599OtherRAILROAD/MEDICARE
NY29527OtherUNITED HEALTHCARE
NYBC4773OtherATLANTIS
NY025620OtherBETTER HEALTH ADVANTAGE
NY2199416OtherFIRST HEALTH
NY25564POtherHIP
NY72286OtherGHI/HMO
NYKS374OtherOXFORD
NYOC1234OtherHEALTH NET
NY00373762Medicaid
NY492357OtherAETNA/US HEALTH
NY0393610-003OtherCIGNA
NY0393610-003OtherCIGNA
NY492357OtherAETNA/US HEALTH