BERGEN INTERNAL MEDICINE LLC (NPI# 1336373539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336373539 |
| Entity Type | Organization |
| Organization Name | BERGEN INTERNAL MEDICINE LLC |
| Practice Address |
6 Horizon Rd Fort Lee NJ 07024-6652 |
| Practice Telephone | 2018868989 |
| Practice Fax Number | 2018868990 |
| Mailing Telephone | 2018868989 |
| Mailing Fax Number | 2018868990 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2014-10-17 |
| Authorized Official Name | DR. RICHARD JUSTIN GALLO (PRESIDENT) |
| Authorized Official Telephone | 2018868989 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA54263 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4992806 | 05 |
| Street Address |
6 HORIZON RD |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-6652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700830098 | Michael Hernandez | Internal Medicine | 6 Horizon Rd, Fort Lee, NJ 07024-6652 | 2006-05-20 |
| 1871865436 | Sharon A Gutman | Occupational Therapist | 6 Horizon Rd, Apt. 1007, Fort Lee, NJ 07024-6652 | 2012-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1740629948 | Chang S Park | Internal Medicine | 200 Old Palisade Rd Apt 1e, Fort Lee, NJ 07024-7057 | 2013-06-20 |
| 1770832024 | Firstmed of Nj LLC | Internal Medicine | 1640 Schlosser St, Suite C-3, Fort Lee, NJ 07024-5606 | 2012-08-31 |
| 1831334200 | Bella Shapnik, Md, Pa | Internal Medicine | 2150 Center Ave Ste 1b, Fort Lee, NJ 07024-5806 | 2008-12-12 |
| 1720267081 | Brandon Trevor Howard | Internal Medicine | 415 Myrtle Ave, Fort Lee, NJ 07024-3912 | 2007-11-02 |
| 1386716579 | Sammy Sang-june Bai | Internal Medicine | 2486 5th St, Fort Lee, NJ 07024-7840 | 2006-11-14 |
| 1407959018 | Salvatore Matthew Laraia | Internal Medicine | 1625 Anderson Av, Fort Lee, NJ 07024 | 2006-09-07 |
| 1184656050 | Michael C. K. Lam | Internal Medicine | 1565 Palisade Ave, Fort Lee, NJ 07024-6911 | 2006-07-07 |
| 1700830098 | Michael Hernandez | Internal Medicine | 6 Horizon Rd, Fort Lee, NJ 07024-6652 | 2006-05-20 |
| 1306824586 | Pilar Sabater | Internal Medicine | 201 Bridge Plz N, Fort Lee, NJ 07024-5909 | 2006-01-06 |
| Find all providers in FORT LEE | ||||
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| 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.