Active NPIOrganization

Bergen Pediatric Center,p.c

Pediatrics in Bergenfield, New Jersey

NPI Number1750302683
Practice location
167 S Washington Ave, Bergenfield, NJ 07621-2903
Fax
—
Last updated
October 28, 2008

Bergen Pediatric Center,p.c is a healthcare organization based in Bergenfield, NJ. Bergen Pediatric Center,p.c practices in Bergenfield, NJ. The NPI Number for Bergen Pediatric Center,p.c is 1750302683 and holds a License No. MA061019 (NJ). The current practice location address for Bergen Pediatric Center,p.c is 167 S Washington Ave, Bergenfield, NJ 07621-2903 and can be reached out via phone at 201-384-8510.

Provider Profile Details

NPI Number
1750302683
Provider Name
Bergen Pediatric Center,p.c
Provider Entity Type
Organization
Address
167 S Washington Ave, Bergenfield, NJ 07621-2903
Phone Number
201-384-8510
Primary Taxonomy
Pediatrics · 208000000X
Organization Subpart
No
Authorized Official
Dr. Omana Reji Mathew · President · 201-384-8510
Provider Enumeration Date
July 23, 2006
Last Update Date
October 28, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
167 S Washington Ave
Bergenfield, NJ 07621-2903
Zip
07621-2903
Phone Number
201-384-8510
Bergenfield, NJ 07621Get directions →

Provider Business Mailing Address Details

Address
167 S Washington Ave
Bergenfield, NJ 07621-2903
City
Bergenfield
State
NJ
Zip
07621-2903

License Information

License Number
MA061019
License State
NJ
Taxonomy
Pediatrics · 208000000X · 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 Pediatric Center,p.c?

The NPI number of Bergen Pediatric Center,p.c is 1750302683. It was assigned on July 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Bergen Pediatric Center,p.c?

Bergen Pediatric Center,p.c is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in NJ under license number MA061019.

Where does Bergen Pediatric Center,p.c practice?

The practice location is 167 S Washington Ave, Bergenfield, NJ 07621-2903. The office can be reached at 201-384-8510 (phone).

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 1750302683 directly on the NPPES registry website.

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