Bergson Louis-Jacques, OTR/L

Primary specialty

SpecialistTaxonomy code 174400000X

License

011502-1 Issued in NY

Practice address

1607 Route 300
Suite 102
Newburgh, NY 12550-1738

Phone

(845) 564-9853

Fax

(845) 564-6974

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC

  • Occupational Therapist
  • Newburgh, NY
  • NPI 1619622461

  NJ, NY, PA

  Medicare reassignment Care Compare group NPD Authorized official
• Caring SLP, Psychology, OT & Nutrition Services, PLLC

  • Contractor
  • Newburgh, NY
  • NPI 1699226217

  NY

  Medicare reassignment Care Compare group NPD
• Complete SLP, OT, PT & Psychology Services, PLLC

  • Contractor
  • Bronx, NY
  • NPI 1437616026

  NY

  Medicare reassignment NPD
• Essential OT, PT, SLP & Psychology Services, PLLC

  • Contractor
  • Baldwin, NY
  • NPI 1093226805

  NY

  Medicare reassignment NPD
• Comprehensive OT, PT, SLP & Adult Health NP Services, PLLC

  • Case Manager/Care Coordinator
  • Middletown, NY
  • NPI 1134827363
  NPD Authorized official
• Bix Homes Inc.

  • Nurse Practitioner
  • Stroudsburg, PA
  • NPI 1245735604
  NPD (past)
• Essential Therapy Services of NJ

  • Occupational Therapist
  • Rockaway, NJ
  • NPI 1730852070
  NPD (past)
• Homedus Inc

  • Durable Medical Equipment & Medical Supplies
  • Randolph, NJ
  • NPI 1164721940
  NPD (past)

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive OT PT SLP and Adult Health NP Services, PLLC 3 clinicians

Caring SLP Psychology OT and Nutrition Services PLLC 13 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NY, PA, NJ3 enrollments

Enrollment records 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184725293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 ROUTE 300",
            "address_2": "SUITE 102",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501738",
            "telephone_number": "845-564-9853",
            "fax_number": "845-564-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 ROUTE 300",
            "address_2": "SUITE 102",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501738",
            "telephone_number": "845-564-9853",
            "fax_number": "845-564-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-JACQUES",
        "first_name": "BERGSON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "011502-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID NUMBER",
            "identifier": "WEP 441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda Lopez
• Denise Gianelli Pascual Lopez, M.D.
• Elizabeth Lopez
• Jessica Lopez
• Lotus Haven Wellness LCSW PLLC
• Carline Louis-Jacques, M.D., M.P.H.
• Marie A Louis
• Rebecca Lynne Loverso, RPA C
• Kenneth Roy Lubetsky, D.D.S.
• Andrea Luken, M.S.

• All providers in Newburgh, NY
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.