BERGEN ENTERPRISES CENTER LLC (NPI# 1235784307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235784307 |
| Entity Type | Organization |
| Organization Name | BERGEN ENTERPRISES CENTER LLC |
| Practice Address |
22-08 Route 208 Ste 2a Fair Lawn NJ 07410-2609 |
| Mailing Address |
2 Kensington Ct Tenafly NJ 07670-2872 |
| Practice Telephone | 2019574951 |
| Mailing Telephone | 2019574951 |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2019-08-06 |
| Authorized Official Name | MR. JAY JONAS (CEO) |
| Authorized Official Telephone | 2019574951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| North Jersey Recovery Center | Doing Business As Name - Organization |
| Street Address |
22-08 ROUTE 208 STE 2A |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1518471895 | Urmajesty Banktruckfit Solutions Inc | Rehabilitation, Substance Use Disorder Unit | 6 Benedette Dr, Waterford Works, NJ 08089-2440 | 2017-11-26 |
| 1346577202 | Sunrise Detox Center II | Rehabilitation, Substance Use Disorder Unit | 1272 Long Hill Rd, Stirling, NJ 07980-1010 | 2009-11-12 |
| 1689729444 | New Life Recovery Center,inc | Rehabilitation, Substance Use Disorder Unit | 23 Colfax Ave, Pompton Lakes, NJ 07442-1709 | 2007-01-24 |
| 1336794312 | Inspira Medical Centers, Inc. | Rehabilitation, Substance Use Disorder Unit | 333 Irving Ave, Bridgeton, NJ 08302-2123 | 2019-08-06 |
| 1598277618 | Jewish Family and Children's Service | Rehabilitation, Substance Use Disorder Unit | 705 Summerfield Ave, Asbury Park, NJ 07712-6921 | 2017-10-30 |
| 1982810248 | Hmh Carrier Clinic, Inc | Rehabilitation, Substance Use Disorder Unit | 252 County Road 601, Belle Mead, NJ 08502-3923 | 2007-05-15 |
| 1518009588 | Princeton Healthcare System, A New Jersey Non-profit Corporation | Rehabilitation, Substance Use Disorder Unit | 905 Herrontown Rd, Princeton, NJ 08540-1901 | 2007-02-13 |
| 1497819866 | St. Clares Hospital | Rehabilitation, Substance Use Disorder Unit | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-12-20 |
| 1235291071 | Saint Clare's Health System | Rehabilitation, Substance Use Disorder Unit | 130 Powerville Rd, Boonton, NJ 07005-8705 | 2006-12-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BERGEN ENTERPRISES CENTER 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.