Organization Active NPI

Donald J Bergamo DPM PC

  • Foot Surgery Podiatrist
  • Middletown, NY
National Provider Identifier
1952443863
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
NOO5115 Issued in NY
Legal business name
DONALD J BERGAMO DPM PC
Practice address
110 E Main St
Middletown, NY 10940-5119
Phone
(845) 343-6050
Fax
(845) 343-5488
NPI assigned
Feb 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gregory John Bergamo, DPM
Title
Owner
Phone
(845) 343-6050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0131X NOO5115 NY Primary

Addresses

Primary practice location

110 E Main St
Middletown, NY 10940-5119

Mailing address

110 E Main St
Middletown, NY 10940-5119
Phone (845) 343-6050

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952443863",
    "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",
            "fax_number": "845-343-5488"
        },
        {
            "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",
            "fax_number": "845-343-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J BERGAMO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGAMO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-343-6050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NOO5115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.