BERGEN P.T. ASSOCIATES, LLC (NPI# 1013075654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013075654 |
Entity Type | Organization |
Organization Name | BERGEN P.T. ASSOCIATES, LLC |
Practice Address |
495 Boulevard Unit 4 Elmwood Park NJ 07407-2041 |
Practice Telephone | 2013707195 |
Mailing Telephone | 2013707195 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. HOWARD JAMES PHILLIPS (OWNER) |
Authorized Official Telephone | 2013707195 |
Authorized Official Credential | PT, PHD OCS, FAA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
40QA00296600 | NJ | Ambulatory Health Care Facilities |
Street Address |
495 BOULEVARD UNIT 4 |
City | ELMWOOD PARK |
State | NJ |
Zip Code | 07407-2041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417910183 | Rosalina Esther Hong | Dentist | 495 Boulevard, Suite 1, Elmwood Park, NJ 07407-2041 | 2006-04-11 |
1760719140 | Liberty Healthcare Services | Home Health | 495 Boulevard, Suite 1a, Elmwood Park, NJ 07407-2041 | 2009-11-05 |
1184782716 | Howard James Phillips | Physical Therapist | 495 Boulevard, Unit 4, Elmwood Park, NJ 07407-2041 | 2006-12-05 |
1396835179 | Advanced Dental Center of Bergen, PC | Dentist | 495 Boulevard, Suite 1, Elmwood Park, NJ 07407-2041 | 2006-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
Find all providers in zip 07407 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013194851 | 3m Rehabilitation Services Inc | Clinic/Center | 7961 W Country Club Ln, Elmwood Park, IL 60707-3533 | 2008-01-23 |
1427188820 | Physiotherapy Associates Inc | Clinic/Center | 7814 W North Ave, Elmwood Park, IL 60707-3536 | 2007-03-06 |
1518996503 | Active Physical Therapy Inst., Pa | Clinic/Center | 67 Broadway, Elmwood Park, NJ 07407 | 2006-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295336303 | 180degree Therapy | Clinic/Center | 52 Hillcrest Dr, Wayne, NJ 07470-5729 | 2020-11-04 |
1467052209 | Maximum Health Physical Therapy of Long Valley, PC | Clinic/Center | 62 E Mill Rd Ste A2, Long Valley, NJ 07853-3118 | 2020-10-30 |
1225637861 | Mvmt Performance LLC | Clinic/Center | 133 Eayrestown Rd, Southampton, NJ 08088-9122 | 2020-10-24 |
1033718473 | Orthostrength Physical Therapy | Clinic/Center | 8 Eastman St Ste 3, Cranford, NJ 07016-2291 | 2020-10-17 |
1356949317 | Coast Physio LLC | Clinic/Center | 140 Metedeconk Rd, Brick, NJ 08723-5442 | 2020-10-13 |
1639777964 | Trinity Rehab Somerset Pa | Clinic/Center | 1130 Broad St, Shrewsbury, NJ 07702-4308 | 2020-10-09 |
1649878976 | Trinity Rehab Somerset Pa | Clinic/Center | 734 Morris Tpke, Short Hills, NJ 07078-2614 | 2020-10-09 |
1336747666 | Trinity Rehab Somerset Pa | Clinic/Center | 910 Hamburg Tpke, Wayne, NJ 07470-3225 | 2020-10-09 |
1013514306 | Shoreside In Home Therapy | Clinic/Center | 213 19th Ave, Belmar, NJ 07719-2655 | 2020-10-08 |
1164039434 | Cano Physical Therapy | Clinic/Center | 1615 80th St, North Bergen, NJ 07047-4165 | 2020-09-30 |
Find all providers with the same taxonomy |
City | ELMWOOD PARK |
Zip Code | 07407 |
Please comment or provide details below to improve the information on BERGEN P.T. ASSOCIATES, LLC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.