Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dara Bergen, RD

Individual provider Registered Dietitian · NPI 1174554703

Dara Bergen, RD is a Registered Dietitian OR Nutrition Professional in Forest Hills, New York. Qualified in 2000, 26 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
26
Licensed in
NY
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

11241 Queens Blvd Ste 100
Forest Hills, NY 11375-5564
Phone: (718) 544-0770
Fax: (718) 261-5522
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 005450 (NY)

Record details

NPI number1174554703
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESFebruary 2, 2009
Mailing address11241 Queens Blvd, Suite 100, Forest Hills, NY 11375-5564

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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