Active NPIOrganization

Bergen Kidney Center PC

Internal Medicine, Nephrology in Englewood, New Jersey

NPI Number1679770952
Practice location
300 Grand Avenue, Suite 101, Englewood, NJ 07631-6581
Fax
201-567-7652
Last updated
February 4, 2026

Bergen Kidney Center PC is a healthcare organization based in Englewood, NJ. Bergen Kidney Center PC practices in Englewood, NJ. The NPI Number for Bergen Kidney Center PC is 1679770952 and holds a License No. MA057981 (NJ). The current practice location address for Bergen Kidney Center PC is 300 Grand Avenue, Suite 101, Englewood, NJ 07631-6581 and can be reached out via phone at 201-567-5787 and via fax at 201-567-7652.

Provider Profile Details

NPI Number
1679770952
Provider Name
Bergen Kidney Center PC
Provider Entity Type
Organization
Address
300 Grand Avenue, Suite 101, Englewood, NJ 07631-6581
Phone Number
201-567-5787
Fax Number
201-567-7652
Primary Taxonomy
Internal Medicine, Nephrology · 207RN0300X
Organization Subpart
No
Authorized Official
Naomi Cassin · Credentialing Manager · 331-216-1156
Provider Enumeration Date
June 29, 2007
Last Update Date
February 4, 2026
Certification Date
February 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Grand Avenue
Suite 101
Englewood, NJ 07631-6581
Zip
07631-6581
Phone Number
201-567-5787
Fax Number
201-567-7652
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
300 Grand Ave Ste 101
Englewood, NJ 07631-6300
City
Englewood
State
NJ
Zip
07631-6300
Phone Number
201-567-5787
Fax Number
201-567-7652

License Information

License Number
MA057981
License State
NJ
Taxonomy
Internal Medicine, Nephrology · 207RN0300X · Primary

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 Kidney Center PC?

The NPI number of Bergen Kidney Center PC is 1679770952. It was assigned on June 29, 2007 and is currently active in the NPPES registry.

What is the specialty of Bergen Kidney Center PC?

Bergen Kidney Center PC is registered under the primary taxonomy Internal Medicine, Nephrology (code 207RN0300X), licensed in NJ under license number MA057981.

Where does Bergen Kidney Center PC practice?

The practice location is 300 Grand Avenue, Suite 101, Englewood, NJ 07631-6581. The office can be reached at 201-567-5787 (phone) or 201-567-7652 (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 1679770952 directly on the NPPES registry website.

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