Active NPIOrganization

Bergen Passaic Pediatric Neurology

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Glen Rock, New Jersey

NPI Number1417009077
Practice location
66 Glen Ave, Glen Rock, NJ 07452-2132
Fax
201-796-9509
Last updated
January 25, 2023

Bergen Passaic Pediatric Neurology is a healthcare organization based in Glen Rock, NJ. Bergen Passaic Pediatric Neurology practices in Glen Rock, NJ. The NPI Number for Bergen Passaic Pediatric Neurology is 1417009077 and holds a License No. 25MA05494400 (NJ). The current practice location address for Bergen Passaic Pediatric Neurology is 66 Glen Ave, Glen Rock, NJ 07452-2132 and can be reached out via phone at 201-796-9500 and via fax at 201-796-9509.

Provider Profile Details

NPI Number
1417009077
Provider Name
Bergen Passaic Pediatric Neurology
Provider Entity Type
Organization
Address
66 Glen Ave, Glen Rock, NJ 07452-2132
Phone Number
201-796-9500
Fax Number
201-796-9509
Organization Subpart
No
Authorized Official
Dr. Judy Woo, MD · Member · 201-796-9500
Provider Enumeration Date
January 16, 2007
Last Update Date
January 25, 2023
Certification Date
January 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Glen Ave
Glen Rock, NJ 07452-2132
Zip
07452-2132
Phone Number
201-796-9500
Fax Number
201-796-9509
Glen Rock, NJ 07452Get directions →

Provider Business Mailing Address Details

Address
Po Box 919
Glen Rock, NJ 07452-0919
City
Glen Rock
State
NJ
Zip
07452-0919
Phone Number
201-796-9500
Fax Number
201-796-9509

License Information

License Number
25MA05494400
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
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 Passaic Pediatric Neurology?

The NPI number of Bergen Passaic Pediatric Neurology is 1417009077. It was assigned on January 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Bergen Passaic Pediatric Neurology?

Bergen Passaic Pediatric Neurology is registered under the primary taxonomy Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (code 2084N0402X), licensed in NJ under license number 25MA05494400.

Where does Bergen Passaic Pediatric Neurology practice?

The practice location is 66 Glen Ave, Glen Rock, NJ 07452-2132. The office can be reached at 201-796-9500 (phone) or 201-796-9509 (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 1417009077 directly on the NPPES registry website.

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