Provider Demographics
NPI:1316343205
Name:BERNARD-ROBERTS, LYNIKKA (MD)
Entity type:Individual
Prefix:DR
First Name:LYNIKKA
Middle Name:
Last Name:BERNARD-ROBERTS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 W MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2523
Mailing Address - Country:US
Mailing Address - Phone:732-308-2255
Mailing Address - Fax:
Practice Address - Street 1:900 W MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2523
Practice Address - Country:US
Practice Address - Phone:732-308-2255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-05
Last Update Date:2016-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09820300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology