| Michele Bergamotto, | |
|
25 Gould Pl, Caldwell, NJ 07006-5609 | |
| (973) 715-9939 | |
| Not Available |
| Full Name | Michele Bergamotto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 25 Gould Pl, Caldwell, New Jersey |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598200545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00689600 (New Jersey) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | 26NJ00689600 (New Jersey) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph's University Medical Center Inc | Paterson, NJ | Hospital |
| Chilton Medical Center | Pompton plains, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Josephs Medical Group Pc | 8628470325 | 217 |
| Entity Name | St Josephs Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
| Entity Name | St Josephs Medical Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205425519 PECOS PAC ID: 8628470325 Enrollment ID: O20210716000520 |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Bergamotto, 25 Gould Pl, Caldwell, NJ 07006-5609 Ph: (973) 715-9939 | Michele Bergamotto, 25 Gould Pl, Caldwell, NJ 07006-5609 Ph: (973) 715-9939 |
Josephine Lopez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 485 Bloomfield Ave, Caldwell, NJ 07006 Phone: 201-931-9398 |
Ms. Linda Perry, PMHNP-BC, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Bloomfield Ave Ste 301, Caldwell, NJ 07006 Phone: 862-359-9160 Fax: 855-864-2515 |