Active NPI
Elena Joy Bergomi, RDN, LDN
- Registered Dietitian
- Allston, MA
National Provider Identifier
1316426646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 4590-NU-NU
- Practice address
- 51 Aldie St Unit 1
Allston, MA 02134-1307 - Phone
- (914) 539-5412
- NPI assigned
- Aug 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 4590-NU-NU | MA | Primary |
Addresses
Primary practice location
51 Aldie St Unit 1
Allston, MA 02134-1307
Mailing address
51 Aldie St Unit 1
Allston, MA 02134-1307
Phone (914) 539-5412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4590-NU-NU | MA | MD | Registered Dietitian |
| 4590 | MA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Foot Care Group | Past | Accepting new patients |
Organizations & group practices 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.
-
- Foot Surgery Podiatrist
- Quincy, MA
- NPI 1447462601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533686400000",
"number": "1316426646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 ALDIE ST UNIT 1",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341307",
"telephone_number": "914-539-5412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 ALDIE ST UNIT 1",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341307",
"telephone_number": "914-539-5412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGOMI",
"first_name": "ELENA",
"middle_name": "JOY",
"credential": "RDN, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-08",
"last_updated": "2018-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MA",
"license": "4590-NU-NU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.