Bergen Spine Associates
Clinic/Center, Primary Care in Hackensack, New Jersey
1124470786- Practice location
- 50 Clinton Pl Ste 6, Hackensack, NJ 07601-4580
- Phone
- 201-880-6204
- Fax
- 201-880-6206
- Last updated
- July 7, 2016
Bergen Spine Associates is a healthcare organization based in Hackensack, NJ. Bergen Spine Associates practices in Hackensack, NJ. The NPI Number for Bergen Spine Associates is 1124470786 and holds a License No. 25MB07566200 (NJ). The current practice location address for Bergen Spine Associates is 50 Clinton Pl Ste 6, Hackensack, NJ 07601-4580 and can be reached out via phone at 201-880-6204 and via fax at 201-880-6206.
Provider Profile Details
- NPI Number
- 1124470786
- Provider Name
- Bergen Spine Associates
- Provider Entity Type
- Organization
- Address
- 50 Clinton Pl Ste 6, Hackensack, NJ 07601-4580
- Phone Number
- 201-880-6204
- Fax Number
- 201-880-6206
- Primary Taxonomy
- Clinic/Center, Primary Care · 261QP2300X
- Organization Subpart
- No
- Authorized Official
- Dr. Roman Kosiborod, MD · Medical Director · 201-880-6204
- Provider Enumeration Date
- July 7, 2016
- Last Update Date
- July 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Clinton Pl Ste 6
Hackensack, NJ 07601-4580 - City
- Hackensack
- State
- New Jersey
- Zip
- 07601-4580
- Phone Number
- 201-880-6204
- Fax Number
- 201-880-6206
Provider Business Mailing Address Details
- Address
- 50 Clinton Pl Ste 6
Hackensack, NJ 07601-4580 - City
- Hackensack
- State
- NJ
- Zip
- 07601-4580
- Phone Number
- 201-880-6204
- Fax Number
- 201-880-6206
License Information
- License Number
- 25MB07566200
- License State
- NJ
- Taxonomy
- Clinic/Center, Primary Care · 261QP2300X · 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 Bergen Spine Associates?
The NPI number of Bergen Spine Associates is 1124470786. It was assigned on July 7, 2016 and is currently active in the NPPES registry.
What is the specialty of Bergen Spine Associates?
Bergen Spine Associates is registered under the primary taxonomy Clinic/Center, Primary Care (code 261QP2300X), licensed in NJ under license number 25MB07566200.
Where does Bergen Spine Associates practice?
The practice location is 50 Clinton Pl Ste 6, Hackensack, NJ 07601-4580. The office can be reached at 201-880-6204 (phone) or 201-880-6206 (fax).
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 1124470786 directly on the NPPES registry website.