Organization Active NPI

Ronny Bergman DC PC

  • Chiropractor
  • Port Washington, NY
National Provider Identifier
1821114943
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RONNY BERGMAN DC PC
Practice address
405 Main St
#4
Port Washington, NY 11050-3135
Phone
(516) 944-4300
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Dr. Ronny Bergman, DCNPI 1316031362
Title
Owner
Phone
(516) 944-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

405 Main St
#4
Port Washington, NY 11050-3135

Mailing address

14 Vanderventer Ave Ste 125
Port Washington, NY 11050-3737
Phone (516) 944-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060303000269 NY Part B Supplier - Clinic/Group Practice 0547276354 Receives reassigned benefits from 1 practitioner
Practice locations: Port Washington, NY

National Provider Directory

National Provider Directory

Locations

14 Vanderventer Ave
Ste 125
Port Washington, NY 11050
Phone (516) 944-4300

405 Main St
Ste 4
Prt Washingtn, NY 11050
Phone (516) 944-4300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1821114943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VANDERVENTER AVE STE 125",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503737",
            "telephone_number": "516-944-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MAIN ST",
            "address_2": "#4",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110503135",
            "telephone_number": "516-944-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNY BERGMAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "RONNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-944-4300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Washington, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.