NPIMap

Organization Active NPI

Robert Bergida

  • General Practice Dentistry
  • Richmond Hill, NY
National Provider Identifier
1942541081
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
034363 Issued in NY
Legal business name
ROBERT BERGIDA
Practice address
11614 Metropolitan Ave
Richmond Hill, NY 11418-1017
Phone
(718) 849-9472
Fax
(718) 849-5483
NPI assigned
Mar 14, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Robert Bergida, DDSNPI 1033129903
Title
Owner
Phone
(718) 849-9472

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 034363 NY Primary

Addresses

Primary practice location

11614 Metropolitan Ave
Richmond Hill, NY 11418-1017

Mailing address

11614 Metropolitan Ave
Richmond Hill, NY 11418-1017
Phone (718) 849-9472

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1942541081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11614 METROPOLITAN AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181017",
            "telephone_number": "718-849-9472",
            "fax_number": "718-849-5483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11614 METROPOLITAN AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181017",
            "telephone_number": "718-849-9472",
            "fax_number": "718-849-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BERGIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "BERGIDA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-849-9472",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "034363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2013; 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.