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

Dr. Jill C Bergson, MD

Individual provider Diagnostic Radiology Physician · NPI 1386841914

Dr. Jill C Bergson, MD is a Diagnostic Radiology in Riverhead, New York. Graduated from State University of Ny Upstate Medical University in 2007, 19 years ago. Practices with Southside Faculty Medical Affiliates University Faculty Practice Corp, a 223-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Trained at
State University of Ny Upstate Medical University
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 Roanoke Ave
Riverhead, NY 11901-2031
Phone: (631) 548-6172
Show map & directions

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

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 287348-1 (NY)

Record details

NPI number1386841914
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESJanuary 2, 2020
Certification dateJanuary 2, 2020
Mailing address27005 76th Ave, New Hyde Park, NY 11040-1402

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2007 (19 years in practice)
Group practice Southside Faculty Medical Affiliates University Faculty Practice Corp — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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