Lynn Denise Bergman, O.T.R.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003767-1 Issued in NY

Practice address

15 Andrea Road
Eastern Suffolk Boces - Sherwood Corporate Center
Holbrook, NY 11741

Phone

(631) 218-4181

Fax

(631) 218-4118

NPI assigned

Oct 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Eastern Suffolk Boces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1073890091
  NPD (past)
• Esboces

  • Public Health or Welfare Agency
  • Patchogue, NY
  • NPI 1093092025
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1790060085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SUNRISE HIGHWAY",
            "address_2": "EASTERN SUFFOLK BOCES",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "11772",
            "telephone_number": "631-289-2200",
            "fax_number": "631-289-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ANDREA ROAD",
            "address_2": "EASTERN SUFFOLK BOCES - SHERWOOD CORPORATE CENTER",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "11741",
            "telephone_number": "631-218-4181",
            "fax_number": "631-218-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "LYNN",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "O.T.R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "003767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Lynne Bauernfeind
• Barbara Ellen Bedford, LMSW
• Nicholas George Bello, D.M.D.
• Bincy Benjamin, O.D.
• Melissa Marie Bennett, L.M.H.C.
• Roger Berkley, P.T.
• Carly Bertolino
• Diane Sanchez Bianco, LCSW
• Barbara Bitzer, PT
• Donna Lynn Blank

• Occupational Therapist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.