Jill Bergman, MS, RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

80 Cherokee Dr
Galloway, NJ 08205-3741

Phone

(856) 419-2686

Fax

(609) 573-5212

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2009.

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239667200000",
    "number": "1710124318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 CHEROKEE DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053741",
            "telephone_number": "856-419-2686",
            "fax_number": "609-573-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CHEROKEE DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082053741",
            "telephone_number": "856-419-2686",
            "fax_number": "609-573-5212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "JILL",
        "credential": "MS, RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Battistelli, MSN FNP-C
• Allison Bell, CCC-SLP
• Theresa A Bell, M.D.
• Julia Anamaria Belmonte, LCSW
• Holly D. Bennett, R.N.APN,C.
• Christina Bernardo, CRNA
• Bhavin Patel DDS PC
• Ebenezer O-a Bilewu, DC
• Allison Bise, LAC
• Bogota Laboratories, Inc.

• All providers in Galloway, NJ
• Registered Dietitian in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.