Active NPIOrganization

Bergenline Spine And Healthcare Center PC

Internal Medicine in West New York, New Jersey

NPI Number1699048322
Practice location
6000 Kennedy Blvd W, West New York, NJ 07093-1414
Fax
201-758-2992
Last updated
May 24, 2013

Bergenline Spine And Healthcare Center PC is a healthcare organization based in West New York, NJ. Bergenline Spine And Healthcare Center PC practices in West New York, NJ. The NPI Number for Bergenline Spine And Healthcare Center PC is 1699048322 and holds a License No. 25MZ00059400 (NJ). The current practice location address for Bergenline Spine And Healthcare Center PC is 6000 Kennedy Blvd W, West New York, NJ 07093-1414 and can be reached out via phone at 201-758-0099 and via fax at 201-758-2992.

Provider Profile Details

NPI Number
1699048322
Provider Name
Bergenline Spine And Healthcare Center PC
Provider Entity Type
Organization
Address
6000 Kennedy Blvd W, West New York, NJ 07093-1414
Phone Number
201-758-0099
Fax Number
201-758-2992
Primary Taxonomy
Internal Medicine · 207R00000X
Organization Subpart
No
Authorized Official
Peter Wohl, DC · Manager · 201-758-0099
Provider Enumeration Date
February 10, 2012
Last Update Date
May 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
6000 Kennedy Blvd W
West New York, NJ 07093-1414
Zip
07093-1414
Phone Number
201-758-0099
Fax Number
201-758-2992
West New York, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
Po Box 5262
West New York, NJ 07093-9262
City
West New York
State
NJ
Zip
07093-9262
Phone Number
201-758-0099
Fax Number
201-758-2992

License Information

Taxonomy (1)
Chiropractor · 111N00000X
Taxonomy (2)
Anesthesiology, Pain Medicine · 207LP2900X
Taxonomy (3)
Orthopaedic Surgery · 207X00000X
Taxonomy (4)
Physical Medicine & Rehabilitation · 208100000X
License Number (6)
25MZ00059400
License State (6)
NJ
Taxonomy (6)
Acupuncturist · 171100000X
License Number (7)
40QA00729000
License State (7)
NJ
Taxonomy (7)
Physical Therapist · 225100000X
Taxonomy (8)
Internal Medicine · 207R00000X · 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 Bergenline Spine And Healthcare Center PC?

The NPI number of Bergenline Spine And Healthcare Center PC is 1699048322. It was assigned on February 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Bergenline Spine And Healthcare Center PC?

Bergenline Spine And Healthcare Center PC is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in NJ under license number 25MZ00059400.

Where does Bergenline Spine And Healthcare Center PC practice?

The practice location is 6000 Kennedy Blvd W, West New York, NJ 07093-1414. The office can be reached at 201-758-0099 (phone) or 201-758-2992 (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 1699048322 directly on the NPPES registry website.

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