Dara Bergen, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

005450 Issued in NY

Practice address

11241 Queens Blvd
Suite 100
Forest Hills, NY 11375-5564

Phone

(718) 544-0770

Fax

(718) 261-5522

NPI assigned

Jul 5, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

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.

• Aa Healthwell Medical P.C.

  • Psychiatry Physician
  • New York, NY
  • NPI 1932730611
  NPD
• Robert Lawrence Howard

  • Registered Dietitian
  • New York, NY
  • NPI 1710917091

  Dietitian, Registered

  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233532800000",
    "number": "1174554703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "address_2": "SUITE 100",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755564",
            "telephone_number": "718-544-0770",
            "fax_number": "718-261-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11241 QUEENS BLVD",
            "address_2": "SUITE 100",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755564",
            "telephone_number": "718-544-0770",
            "fax_number": "718-261-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "DARA",
        "credential": "RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "005450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS",
            "identifier": "BD5450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fuad Benyaminov, MD
• Natalie Istam Benyaminov, DNP-FNP
• Jeta Bera, PHARMD
• Christina Berdebes, PHD, LMFT
• Cherrylene Abulag Berdos Ruba, PT
• Robert Bergen, LCSW
• Lisa Bergenbaum
• Alexander Berger, CASAC
• Chani Berger, R - P.A., CERTIFIED
• Natalya Beria

• Registered Dietitian in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Registered Dietitian in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.