Active NPI
Megan Bergeron
- Nurse Practitioner
- New York, NY
National Provider Identifier
1619576717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 309937
- Practice address
- 222 E 41St St
New York, NY 10017-6739 - Phone
- (646) 825-6300
- NPI assigned
- Oct 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 713936 | NY | |
| Nurse Practitioner | 363L00000X | 309937 | NY | Primary |
Addresses
Primary practice location
222 E 41St St
New York, NY 10017-6739
Mailing address
289 Empire Blvd Apt 5a
Brooklyn, NY 11225-3548
Phone (609) 937-9014
Other practice location 1
289 Empire Blvd Apt 5A
Brooklyn, NY 11225-3548
Phone (609) 937-9014
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbergeron95747@nyumc.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 713936 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients |
Locations
222 E 41st St
New York, NY 10017
Phone (212) 263-2573
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1619576717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 EMPIRE BLVD APT 5A",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112253548",
"telephone_number": "609-937-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 E 41ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100176739",
"telephone_number": "646-825-6300"
}
],
"practiceLocations": [
{
"address_1": "289 Empire Blvd Apt 5A",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112253548",
"country_code": "US",
"telephone_number": "609-937-9014",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERGERON",
"first_name": "MEGAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "713936",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "309937",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbergeron95747@nyumc.direct-ci.com",
"affiliation": "N",
"address_1": "222 E 41st St",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100176739",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 9, 2022; 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.
- 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.