| Kerry Bergman, MD | |
|
99 Beauvoir Ave, Summit, NJ 07901-3533 | |
| (973) 971-7185 | |
| Not Available |
| Full Name | Kerry Bergman |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 99 Beauvoir Ave, Summit, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346211174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 25MA05619600 (New Jersey) | Primary |
| Entity Name | Hackensack Meridian Health Medical Group - Specialty Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524 |
| Entity Name | Hackensack Meridian Health Medical Group - Complex Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154379626 PECOS PAC ID: 0446272298 Enrollment ID: O20060109000000 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Kerry Bergman, MD Po Box 23831, Newark, NJ 07189-0001 Ph: (973) 971-7185 | Kerry Bergman, MD 99 Beauvoir Ave, Summit, NJ 07901-3533 Ph: (973) 971-7185 |
Dr. David Daniels, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 33 Overlook Rd, Suite 302, Summit, NJ 07901 Phone: 908-598-8222 Fax: 908-598-8222 | |
James Gardner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Overlook Rd, Suite 310, Summit, NJ 07901 Phone: 908-918-1969 Fax: 908-918-1995 | |
Dr. Aaron T Miller, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 33 Overlook Rd, Suite 412, Summit, NJ 07901 Phone: 908-598-0220 Fax: 908-598-0415 | |
Dr. Stancie C. Rhodes, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1 Springfield Avenue, Suite 3a, Summit, NJ 07901 Phone: 908-202-6942 | |
Stephen C Hall, MD Surgery Medicare: Medicare Enrolled Practice Location: 33 Overlook Rd, Suite 205, Summit, NJ 07901 Phone: 908-522-4500 Fax: 908-522-1222 | |
Paul M Starker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 11 Overlook Rd, Suite 160, Summit, NJ 07901 Phone: 908-608-9001 Fax: 908-608-9030 |