Active NPI
Uri Bergmann, PH.D.
- Social Worker
- Commack, NY
National Provider Identifier
1639439706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PR022246
- Practice address
- 366 Veterans Memorial Hwy
Suite 1a
Commack, NY 11725-4387 - Phone
- (631) 864-5752
- Fax
- (631) 864-8418
- NPI assigned
- May 23, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | PR022246 | NY | Primary |
Addresses
Primary practice location
366 Veterans Memorial Hwy
Suite 1a
Commack, NY 11725-4387
Mailing address
366 Veterans Memorial Hwy
Suite 1a
Commack, NY 11725-4387
Phone (631) 864-5752
Medicare participation
Medicare enrollment files- 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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Dec 14, 2016 through Dec 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR022246 | NY | MD | Social Worker |
| 022246 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337731200000",
"number": "1639439706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 VETERANS MEMORIAL HWY",
"address_2": "SUITE 1A",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254387",
"telephone_number": "631-864-5752",
"fax_number": "631-864-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 VETERANS MEMORIAL HWY",
"address_2": "SUITE 1A",
"city": "COMMACK",
"state": "NY",
"postal_code": "117254387",
"telephone_number": "631-864-5752",
"fax_number": "631-864-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGMANN",
"first_name": "URI",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-23",
"last_updated": "2012-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PR022246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.