Individual
MR. JONATHAN BERARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-5111
Mailing address
525 E 68 ST, BAKER 24, NEW YORK, NY 10065-4870
(212) 746-7864
(212) 746-8852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR25197200
NJ
163W00000X
Registered Nurse
672062
NY
363LF0000X
Family Nurse Practitioner
26NJ15029400
NJ
363LF0000X
Family Nurse Practitioner
Primary
346420
NY
Other
Enumeration date
08/17/2020
Last updated
12/30/2024
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