Organization Active NPI

Westside Family Medicine PLLC.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1467539874
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213539 Issued in NY
Legal business name
WESTSIDE FAMILY MEDICINE PLLC.
Practice address
535 W 110TH St Apt 1E
New York, NY 10025-2021
Phone
(212) 280-4740
NPI assigned
Nov 1, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Bertie BregmanNPI 1114988110
Title
President
Phone
(212) 280-4740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 213539 NY Primary

Addresses

Primary practice location

535 W 110TH St Apt 1E
New York, NY 10025-2021

Mailing address

300 W 108TH St Apt 13a
New York, NY 10025-2788

Other practice location 1

55 E 87th St Ste 1F
New York, NY 10128-1049
Phone (212) 280-4740

Other practice location 2

315 W 70th St Apt 1B
New York, NY 10023-3504
Phone (212) 280-4740

Other practice location 3

322 Fairview Ave
Hudson, NY 12534-1219
Phone (212) 280-4740

Other practice location 4

349 3rd St
Jersey City, NJ 07302-5634
Phone (212) 280-4740

Other practice location 5

219 Driggs Ave
Brooklyn, NY 11222-4605
Phone (212) 280-4740

Other practice location 6

132 Crosby St Apt 2R
New York, NY 10012-4044
Phone (212) 280-4740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250514000190 NY Part B Supplier - Clinic/Group Practice 1456879451 Receives reassigned benefits from 43 practitioners
Practice locations: New York, NY; Brooklyn, NY; Hudson, NY
O20250822003214 NJ Part B Supplier - Clinic/Group Practice 1456879451 Receives reassigned benefits from 26 practitioners
Practice locations: Jersey City, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1055007Westside Family Medicine, PLLC535 West 110TH Street, Suite 1 E, New York, NY 10025Certificate of waiverJan 7, 2028
33D2017419Westside Family Medicine PLLC315 West 70TH Street Suite 1B, New York, NY 10023Certificate of waiverAug 10, 2026
33D2190283Westside Family Medicine PLLC55 East 87TH St Suite 1F, New York, NY 10128Certificate of waiverAug 11, 2026
33D2299705Westside Family Medicine PLLC219 Driggs Ave, Brooklyn, NY 11222Certificate of waiverFeb 25, 2028
33D2326789Westside Family Medicine PLLC132 Crosby St 2ND FL, New York, NY 10012Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory

Locations

219 Driggs Ave
Brooklyn, NY 11222

389 Court St
Brooklyn, NY 11231

315 W 70th St
Apt 1B
New York, NY 10023
Phone (212) 787-2404

535 W 110th St
New York, NY 10025
Phone (212) 222-0600

535 W 110th St
Apt 1E
New York, NY 10025
Phone (212) 222-1180

55 E 87th St
Ste 1E
New York, NY 10128
Phone (212) 369-6900

55 E 87th St
Ste 1F
New York, NY 10128
Phone (212) 427-2131

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1467539874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 108TH ST APT 13A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252788",
            "fax_number": "212-280-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W 110TH ST APT 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252021",
            "telephone_number": "212-280-4740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 E 87th St Ste 1F",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281049",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 W 70th St Apt 1B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100233504",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "322 Fairview Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125341219",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 3rd St",
            "address_purpose": "LOCATION",
            "city": "Jersey City",
            "state": "NJ",
            "postal_code": "073025634",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "219 Driggs Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112224605",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Crosby St Apt 2R",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100124044",
            "country_code": "US",
            "telephone_number": "212-280-4740",
            "fax_number": "212-280-4743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WESTSIDE FAMILY MEDICINE PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "BREGMAN",
        "authorized_official_first_name": "BERTIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-280-4740"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "213539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.