Bergamo Podiatry PLLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

NOO5115 Issued in NY

Legal business name

BERGAMO PODIATRY PLLC

Practice address

110 E Main St
Middletown, NY 10940-5119

Phone

(845) 343-6050

NPI assigned

May 20, 2011

Organization subpart

No

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

Authorized official

Name

Gregory John Bergamo, D.P.M.

Title

Podiatrist

Phone

(845) 343-6050

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305849600000",
    "number": "1730472903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405119",
            "telephone_number": "845-343-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E MAIN ST",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109405119",
            "telephone_number": "845-343-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGAMO PODIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2011-05-20",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "845-343-6050",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01515273",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164420881",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronica M Bennett
• Zacheriah Robert Benton, MD
• Ann Marie A Bentsi-Addison, CNM
• Laurenne A. Benzenberg, LCSW
• Heather Berentsen
• Gregory John Bergamo, D.P.M.
• Katherine Bergamo, FNP
• Gloria E Berrios
• Leonardo De Jesus Berroa, CASAC-T
• Darius Bertolino, COTA

• Foot Surgery Podiatrist in Middletown, NY
• Providers in Middletown, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.