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

Nicolle A Bergin

Individual provider Adult Health Nurse Practitioner · NPI 1093377954

Nicolle A Bergin is a Nurse Practitioner in North Babylon, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2019, 7 years ago. Practices with Long Island Comprehensive Medical Care PLLC, a 41-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2019

Practice location Address checks out

1231 Deer Park Ave
North Babylon, NY 11703-3104
Phone: (631) 667-0388
Fax: (631) 968-7705
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F309189-01 (NY)

Record details

NPI number1093377954
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 1, 2019
Last updated in NPPESJuly 1, 2019
Mailing address1231 Deer Park Ave, North Babylon, NY 11703-3104

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Long Island Comprehensive Medical Care Pllc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in North Babylon