Jonah S. Bergman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV006223 Issued in NY

Practice address

205 E 64TH St Ste 101
New York, NY 10065-6673

Phone

(212) 888-4000

Fax

(212) 888-4151

NPI assigned

Oct 11, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Harmon Optical Corp.

  • Eyewear Supplier
  • New York, NY
  • NPI 1891136552
  NPD (past)
• Primary Eye Care Optometry, LLP

  • Corneal and Contact Management Optometrist
  • New York, NY
  • NPI 1700323136
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1356439624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 64TH ST STE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656673",
            "telephone_number": "212-888-4000",
            "fax_number": "212-888-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 64TH ST STE 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656673",
            "telephone_number": "212-888-4000",
            "fax_number": "212-888-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JONAH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Mac Bergman, M.D.
• Dina Bergman, OTR
• Donald Arthur Bergman, M.D.
• Emma Aisling Bergman, MD
• Geoffrey W Bergman, MD
• Maja Katarina Bergman, PHD
• Meredith Paige Bergman, M.D.
• Michael Bergman, MD
• Miriam Bergman
• Peter Bergman, LMSW

• Optometrist in New York, NY
• Providers in New York, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.