Andrew S Bergman, PA-C
Physician Assistant in Medford, New Jersey
1528499555- Practice location
- 131 Route 70 Ste 100A, Medford, NJ 08055-9501
- Phone
- 609-267-9400
- Fax
- —
- Last updated
- November 27, 2023
Andrew S Bergman is a Physician Assistant based in Medford, NJ. Andrew S Bergman practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Andrew S Bergman is 1528499555 and holds a License No. 25MT00155300 (NJ). The current practice location address for Andrew S Bergman is 131 Route 70 Ste 100A, Medford, NJ 08055-9501 and can be reached out via phone at 609-267-9400.
Provider Profile Details
- NPI Number
- 1528499555
- Provider Name
- Andrew S Bergman
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 131 Route 70 Ste 100A, Medford, NJ 08055-9501
- Phone Number
- 609-267-9400
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 2, 2013
- Last Update Date
- November 27, 2023
- Certification Date
- November 27, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 131 Route 70 Ste 100A
Medford, NJ 08055-9501 - City
- Medford
- State
- New Jersey
- Zip
- 08055-9501
- Phone Number
- 609-267-9400
Provider Business Mailing Address Details
- Address
- 301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197 - City
- Marlton
- State
- NJ
- Zip
- 08053-4197
- Phone Number
- 856-355-0340
License Information
- License Number (1)
- 25MT00155300
- License State (1)
- NJ
- Taxonomy (1)
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- 25MP00481600
- License State (3)
- NJ
- Taxonomy (3)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Andrew S Bergman, PA-C?
The NPI number of Andrew S Bergman, PA-C is 1528499555. It was assigned on December 2, 2013 and is currently active in the NPPES registry.
What is the specialty of Andrew S Bergman, PA-C?
Andrew S Bergman, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MT00155300.
Where does Andrew S Bergman, PA-C practice?
The practice location is 131 Route 70 Ste 100A, Medford, NJ 08055-9501. The office can be reached at 609-267-9400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528499555 directly on the NPPES registry website.