Individual provider Active NPI

Ahuva Bergman, M.D.

  • Pediatrics Physician
  • Fair Lawn, NJ
National Provider Identifier
1952789174
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA12069300 Issued in NJ
Practice address
17-10 Fair Lawn Ave
Fair Lawn, NJ 07410-2324
Phone
(201) 794-8585
NPI assigned
May 7, 2015
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA12069300 NJ Primary

Addresses

Primary practice location

17-10 Fair Lawn Ave
Fair Lawn, NJ 07410-2324

Mailing address

401 Route 73 N BLDG 10
Marlton, NJ 08053-3425
Phone (856) 872-7055

Other names 1

  • Ahuva Freilich-Bergman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404001500 NJ Practitioner - Pediatric Medicine 5597103903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA12069300NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Advocare , LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Advocare , LLC Pediatrics PastSince Mar 3, 2024 Accepting new patients
Advocare , LLC Single Specialty PastSince Mar 3, 2024 Accepting new patients
Advocare, LLC Single Specialty Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

17-10 Fair Lawn Ave
Fair Lawn, NJ 07410
Phone (201) 794-7977

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

Interoperability endpoints

  • Direct secure messaging: ahuva.bergman@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1952789174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 FAIR LAWN AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102324",
            "telephone_number": "201-794-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "AHUVA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA12069300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHUVA",
            "last_name": "FREILICH-BERGMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.