Bergen Internal Medicine LLC
Internal Medicine in Fort Lee, New Jersey
1336373539- Practice location
- 6 Horizon RD, Fort Lee, NJ 07024-6652
- Phone
- 201-886-8989
- Fax
- 201-886-8990
- Last updated
- October 17, 2014
Bergen Internal Medicine LLC is a healthcare organization based in Fort Lee, NJ. Bergen Internal Medicine LLC practices in Fort Lee, NJ. The NPI Number for Bergen Internal Medicine LLC is 1336373539 and holds a License No. MA54263 (NJ). The current practice location address for Bergen Internal Medicine LLC is 6 Horizon RD, Fort Lee, NJ 07024-6652 and can be reached out via phone at 201-886-8989 and via fax at 201-886-8990.
Provider Profile Details
- NPI Number
- 1336373539
- Provider Name
- Bergen Internal Medicine LLC
- Provider Entity Type
- Organization
- Address
- 6 Horizon RD, Fort Lee, NJ 07024-6652
- Phone Number
- 201-886-8989
- Fax Number
- 201-886-8990
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Richard Justin Gallo, MD · President · 201-886-8989
- Provider Enumeration Date
- May 4, 2009
- Last Update Date
- October 17, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6 Horizon RD
Fort Lee, NJ 07024-6652 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-6652
- Phone Number
- 201-886-8989
- Fax Number
- 201-886-8990
Provider Business Mailing Address Details
- Address
- 6 Horizon RD
Fort Lee, NJ 07024-6652 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-6652
- Phone Number
- 201-886-8989
- Fax Number
- 201-886-8990
License Information
- License Number
- MA54263
- License State
- NJ
- Taxonomy
- Internal Medicine · 207R00000X · 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 Internal Medicine LLC?
The NPI number of Bergen Internal Medicine LLC is 1336373539. It was assigned on May 4, 2009 and is currently active in the NPPES registry.
What is the specialty of Bergen Internal Medicine LLC?
Bergen Internal Medicine LLC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number MA54263.
Where does Bergen Internal Medicine LLC practice?
The practice location is 6 Horizon RD, Fort Lee, NJ 07024-6652. The office can be reached at 201-886-8989 (phone) or 201-886-8990 (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 1336373539 directly on the NPPES registry website.