JAY M. BERNSTEIN M.D.
NPI 1053314955
Specialist in Cedar Knolls, NJ

Active since May 24, 2005PECOS EnrolledAccepts Medicare Assignment
87.21/100
CMS Quality Rating
218 RIDGEDALE AVE, CEDAR KNOLLS, NJ 07927(973) 326-8895(973) 326-6805 Get Directions Write a Review

NPPES record last updated: March 28, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jay M. Bernstein M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY M. BERNSTEIN M.D. (NPI 1053314955) is an individual specialist in Cedar Knolls, New Jersey, licensed in New Jersey (MA039964) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1053314955
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJAY M. BERNSTEINCredential: M.D.
Location Address218 RIDGEDALE AVECedar Knolls, NJ 07927-2109
Mailing Address9 Jacob Arnold RdMorristown, NJ 07960-3406 · (973) 326-8895 · Fax (973) 326-6805
Fax(973) 326-6805
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 24, 2005
Last NPPES UpdateMarch 28, 2014
✔ NPI 1053314955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA039964
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
218 RIDGEDALE AVE, Cedar Knolls, NJ 07927

Other Identifiers 3

Medicaid1075900NJ
Medicare ID-Type Unspecified590110BC8
Medicare UPINA61463

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jay M. Bernstein M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022147206
PECOS Enrollment IDI20100526000597
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jay Bernstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6B MINNEAKONING RD
Flemington, NJ 08822
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Pediatrics
401 ROUTE 73 N STE 320
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 909 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
37 services28 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.21/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.06
Promoting Interoperability100
Improvement Activities40
Cost73.3

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
218 RIDGEDALE AVE
CEDAR KNOLLS, NJ 07927
Ophthalmology
218 RIDGEDALE AVE, SUITE 100
CEDAR KNOLLS, NJ 07927
Physician Assistant
218 RIDGEDALE AVE, SUITE 104
CEDAR KNOLLS, NJ 07927
Clinic/Center (Medical Specialty)
218 RIDGEDALE AVE, SUITE 100
CEDAR KNOLLS, NJ 07927
Orthopaedic Surgery
218 RIDGEDALE AVE, SUITE 104
CEDAR KNOLLS, NJ 07927
Orthopaedic Surgery (Hand Surgery)
218 RIDGEDALE AVE, SUITE 202
CEDAR KNOLLS, NJ 07927
Physical Therapist
218 RIDGEDALE AVE, SUITE 103
CEDAR KNOLLS, NJ 07927
Clinic/Center
218 RIDGEDALE AVE, SUITE 104
CEDAR KNOLLS, NJ 07927

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Bernstein's NPI number?

The NPI number for Jay Bernstein is 1053314955. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Jay Bernstein located?

Jay Bernstein practices at 218 Ridgedale Ave, Cedar Knolls, NJ 07927. The listed phone number is (973) 326-8895.

What is Jay Bernstein's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jay Bernstein enrolled in Medicare?

Yes. Jay Bernstein is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jay Bernstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jay Bernstein reassigns Medicare benefits to 2 organizations: Paul Phillips Eye & Surgery Center PC (Flemington, NJ) and Advocare, LLC (Marlton, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jay Bernstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jay Bernstein accept?

Health plans from Oscar Health list Jay Bernstein as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jay Bernstein was last updated on March 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.