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DARA BERGEN RD
NPI 1174554703
Dietitian, Registered in Forest Hills, NY

Active since July 05, 2006Accepts Medicare Assignment
11241 QUEENS BLVD, SUITE 100, FOREST HILLS, NY 11375(718) 544-0770(718) 261-5522 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dara Bergen Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DARA BERGEN RD (NPI 1174554703) is an individual dietitian, registered in Forest Hills, New York, licensed in New York (005450) and active in the NPI registry since July 2006. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1174554703
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDARA BERGENCredential: RD
Location Address11241 QUEENS BLVD, SUITE 100Forest Hills, NY 11375-5564
Mailing Address11241 Queens Blvd, Suite 100Forest Hills, NY 11375-5564 · (718) 544-0770 · Fax (718) 261-2262
Phone(718) 544-0770
Fax(718) 261-5522
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 5, 2006
Last NPPES UpdateFebruary 2, 2009
✔ NPI 1174554703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in NY · 005450
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
11241 QUEENS BLVD, Forest Hills, NY 11375
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Other Identifiers 1

OtherBD5450NY · Atlantis

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dara Bergen Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345242046
PECOS Enrollment IDI20070209000052

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $67.00 – $201.98
Typical copayment $0.00 (range $16.75 – $50.49)
Most-billed visit code NA
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

I & R MEDICAL SERVICES PC
Internal Medicine
11241 QUEENS BLVD, SUITE LLB
FOREST HILLS, NY 11375
Queens County (718) 520-7723
ROZA ISRAEL M.D.
Internal Medicine
11241 QUEENS BLVD, SUITE LLB
FOREST HILLS, NY 11375
Queens County (718) 520-7723
GRAMERCY CARDIAC DIAGNOSTIC SERVICES, P.C.
Nuclear Medicine (Nuclear Cardiology)
11241 QUEENS BLVD, SUITE LLA
FOREST HILLS, NY 11375
Queens County (718) 261-8050
DR. KATHERINE BETH SAPADIN PH.D.
Psychologist (Counseling)
11241 QUEENS BLVD, 100
FOREST HILLS, NY 11375
Queens County (718) 544-0770
DIAGNOSTIC & INTERVENTIONAL CARDIAC SVCS, PC
Nuclear Medicine (Nuclear Cardiology)
11241 QUEENS BLVD, SUITE LLA
FOREST HILLS, NY 11375
Queens County (718) 261-8050
DR. LUBA ALEXANDRA ROYTBURD PH.D.
Psychologist
11241 QUEENS BLVD, SUITE 100
FOREST HILLS, NY 11375
Queens County (646) 706-7781
ROBERT BERGEN LCSW
Social Worker (Clinical)
11241 QUEENS BLVD, SUITE 203
FOREST HILLS, NY 11375
Queens County (917) 769-9636
ISTAM MAZAL FUZAILOV
Occupational Therapist
11241 QUEENS BLVD
FOREST HILLS, NY 11375
Queens County (929) 386-0244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dara Bergen's NPI number?

The NPI number for Dara Bergen is 1174554703. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Dara Bergen located?

Dara Bergen practices at 11241 Queens Blvd Suite 100, Forest Hills, NY 11375. The listed phone number is (718) 544-0770.

What is Dara Bergen's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Dara Bergen enrolled in Medicare?

Yes. Dara Bergen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Dara Bergen was last updated on February 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.