NPIMap

Individual provider Active NPI

Mark J. Bergman, M.D.

  • Cardiovascular Disease Physician
  • Huntington, NY
National Provider Identifier
1063512002
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
150032 Issued in NY
Practice address
175 E Main St
Suite 200
Huntington, NY 11743-2939
Phone
(631) 549-5700
Fax
(631) 549-1991
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 150032 NY Primary

Addresses

Primary practice location

175 E Main St
Suite 200
Huntington, NY 11743-2939

Mailing address

175 E Main St
Suite 200
Huntington, NY 11743-2939
Phone (631) 549-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105001053 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5193910917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
University of Virginia School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cohen Bergman and Klepper MDS PCGroup PAC ID 3375434400, 5 clinicians

Practice addresses (Care Compare)

175 E Main St
Suite 200
Huntington, NY 11743-2981
Phone (631) 549-1970

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.56 of 100Reported as group
Quality
94.98
Improvement activities
40
Cost
61.88

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Feb 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

270 Park Ave
Huntington, NY 11743
Phone (631) 351-2308

175 E Main St
Ste 200
Huntington, NY 11743
Phone (631) 549-1970

175 E Main St
Huntington, NY 11743
Phone (631) 424-3787

300 Community Dr
Plandome, NY 11030

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 22

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 22

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1063512002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432939",
            "telephone_number": "631-549-5700",
            "fax_number": "631-549-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E MAIN ST",
            "address_2": "SUITE 200",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117432939",
            "telephone_number": "631-549-5700",
            "fax_number": "631-549-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MARK",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "150032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.