Fred Charles Bergamo, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

220100796100 Issued in NJ

Practice address

500 N Farview Ave
Paramus, NJ 07652-4104

Phone

(201) 261-0212

Fax

(201) 261-6272

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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.

• Fred C. Bergamo, DDS, PA

  • General Practice Dentistry
  • Paramus, NJ
  • NPI 1861564502
  NPD (past) Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942372594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524104",
            "telephone_number": "201-261-0212",
            "fax_number": "201-261-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524104",
            "telephone_number": "201-261-0212",
            "fax_number": "201-261-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGAMO",
        "first_name": "FRED",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "220100796100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celine Frances Bennion
• Carla A Benson
• Noelle Benz, DO, BCBA
• Kelly Lyn Benzkofer
• Sheila Berard, LCSW
• Bergen Behavioral Health PC
• Bergen Care Personal Touch, LLC (CareOne at Home)
• Bergen Chiropractic and Sports Performance LLC
• Bergen Compassion LLC
• Bergen County Adult Day Care LLC

• Dentist in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.