Individual provider Active NPI

Michael J Bergstein, M.D.

  • Facial Plastic Surgery Physician
  • Tarrytown, NY
National Provider Identifier
1679512727
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X
License
167019 Issued in NY
Practice address
200 White Plains Rd Ste 201
Tarrytown, NY 10591-5804
Phone
(914) 631-3053
Fax
(914) 631-2807
NPI assigned
Jun 5, 2006
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Facial Plastic Surgery Physician 207YS0123X 167019 NY Primary

Addresses

Primary practice location

200 White Plains Rd Ste 201
Tarrytown, NY 10591-5804

Mailing address

660 White Plains Rd FL 4
Tarrytown, NY 10591-5139
Phone (914) 984-2546

Other practice location 1

2651 Strang Blvd
Yorktown Heights, NY 10598-2940
Phone (914) 245-2681

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404001032 NY Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 8123083847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Icahn School of Medicine at Mount Sinai, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

1086 N Broadway
Suite 220
Yonkers, NY 10701-1112
Phone (914) 963-8588

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.45 of 100Reported as group
Quality
89.91
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Facial Plastic Surgery CurrentSince Apr 20, 1998 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Past Accepting new patients

Locations

358 N Broadway
Ste 203
Sleepy Hollow, NY 10591
Phone (914) 631-3053

200 White Plains Rd
Ste 201
Tarrytown, NY 10591
Phone (914) 631-3053

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

79 E Post Rd
White Plains, NY 10601
Phone (914) 849-3488

1086 N Broadway
Ste 220
Yonkers, NY 10701
Phone (914) 279-9500

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mbergstein67508@northwell.direct-ci.com
  • Direct secure messaging: michael.bergstein@direct.entandallergy.nextgenshare.com
  • Direct secure messaging: michael.bergstein@direct.hvhc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1679512727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL 4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915139",
            "telephone_number": "914-984-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE PLAINS RD STE 201",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915804",
            "telephone_number": "914-631-3053",
            "fax_number": "914-631-2807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 Strang Blvd",
            "address_purpose": "LOCATION",
            "city": "Yorktown Heights",
            "state": "NY",
            "postal_code": "105982940",
            "country_code": "US",
            "telephone_number": "914-245-2681",
            "fax_number": "914-245-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGSTEIN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "167019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarrytown, NY

Sources for this page

Verify at the official NPI Registry.