Active NPIOrganization

Bergen Gastroenterology PC

Internal Medicine, Gastroenterology in Emerson, New Jersey

NPI Number1972531523
Practice location
466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396
Fax
201-634-9647
Last updated
August 20, 2009

Bergen Gastroenterology PC is a healthcare organization based in Emerson, NJ. Bergen Gastroenterology PC practices in Emerson, NJ. The NPI Number for Bergen Gastroenterology PC is 1972531523 and holds a License No. 465837 (NJ). The current practice location address for Bergen Gastroenterology PC is 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396 and can be reached out via phone at 201-967-8221 and via fax at 201-634-9647.

Provider Profile Details

NPI Number
1972531523
Provider Name
Bergen Gastroenterology PC
Provider Entity Type
Organization
Address
466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396
Phone Number
201-967-8221
Fax Number
201-634-9647
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Eric S Avezzano, MD · President/Md · 201-967-8221
Provider Enumeration Date
June 30, 2006
Last Update Date
August 20, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
466 Old Hook RD
Suite 1
Emerson, NJ 07630-1396
Zip
07630-1396
Phone Number
201-967-8221
Fax Number
201-634-9647
Emerson, NJ 07630Get directions →

Provider Business Mailing Address Details

Address
466 Old Hook RD
Suite 1
Emerson, NJ 07630-1396
City
Emerson
State
NJ
Zip
07630-1396
Phone Number
201-967-8221

License Information

License Number
465837
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · 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 Gastroenterology PC?

The NPI number of Bergen Gastroenterology PC is 1972531523. It was assigned on June 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Bergen Gastroenterology PC?

Bergen Gastroenterology PC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number 465837.

Where does Bergen Gastroenterology PC practice?

The practice location is 466 Old Hook RD, Suite 1, Emerson, NJ 07630-1396. The office can be reached at 201-967-8221 (phone) or 201-634-9647 (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 1972531523 directly on the NPPES registry website.

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