BERGEN SPINE ASSOCIATES PROFESSIONAL CORPORATION (NPI# 1477972859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477972859 |
| Entity Type | Organization |
| Organization Name | BERGEN SPINE ASSOCIATES PROFESSIONAL CORPORATION |
| Practice Address |
55 Meadowlands Pkwy Secaucus NJ 07094-2977 |
| Practice Telephone | 2019824706 |
| Mailing Telephone | 2019824706 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2014-04-14 |
| Authorized Official Name | DR. ROMAN KOSIBOROD (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2019824706 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 25 MB07566200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
55 MEADOWLANDS PKWY |
| City | SECAUCUS |
| State | NJ |
| Zip Code | 07094-2977 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740273663 | Liberty Rehabilitation Associates | Physical Medicine & Rehabilitation | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2005-08-25 |
| 1255948444 | Hudson Thera Care Corp | Chiropractor | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-09-30 |
| 1265056667 | North American Spine and Pain Institute PC | Orthopaedic Surgery | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-06-01 |
| 1235753633 | Hudson Orthopedics Pain and Spine | Orthopaedic Surgery | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-06-01 |
| 1609499805 | Shein Orthopaedics of Nj LLC | Orthopaedic Surgery | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-05-21 |
| 1598392003 | Aztec Medical Pa | Anesthesiology | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-03-25 |
| 1275169716 | Pinnacle Medical Associates Pa | Anesthesiology | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-03-17 |
| 1508491903 | Elite Specialty Care, PC | Clinic/Center | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2020-03-05 |
| 1548809221 | Hudson Premier Medical PC | Radiology | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2019-12-30 |
| 1851941868 | Jeongsun Park | Pharmacist | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2019-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629626163 | Meadowlands Pharmacy LLC | Pharmacy | 40, Meadowlands Pkway, Secaucus, NJ 07094 | 2019-08-28 |
| 1639625916 | Monika Patel | Dentist | 87 Huber St, Secacus, NJ 07094 | 2016-08-28 |
| 1366830820 | Morgan & Associates | Allergy & Immunology | 400 Park Place, Secaucus, NJ 07094 | 2015-01-06 |
| 1619267697 | Maria Lourdes D. Aguilera | Clinic/Center | 5301 Broadway Avenue, West New York, NJ 07094 | 2011-04-12 |
| 1154626117 | Robert W. Boyajian, Md, Pa | Internal Medicine | 255 Route 3 East Suite 203, Secaucus, NJ 07094 | 2011-01-21 |
| 1902071731 | Joseph D. Scalia | Surgery | 714-10th Street, Secaucus, NJ 07094 | 2008-04-23 |
| 1477764884 | Atlantis Health and Wellness PC | Chiropractor | 600 Plaza Dr, Harmon Meadow Plaza, Secaucus, NJ 07094 | 2007-05-25 |
| 1265558589 | Occupational Health Centers of New Jersey, P.a. | Clinic/Center | 30 Seaview Drive, Secaucus, NJ 07094 | 2007-03-21 |
| 1699899666 | Armando Ivan Martinez | Orthopaedic Surgery | 405 County Avenue, Secaucus, NJ 07094 | 2007-03-16 |
| 1457498768 | Nimer M Iskandarani | Psychiatry & Neurology | 255 Rt 3 East, Suite 209, Secaucus, NJ 07094 | 2007-01-30 |
| Find all providers in zip 07094 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013246008 | Kajal Satishchandra Roy | Hospitalist | 1443 Riverside Station Blvd, Secaucus, NJ 07094-4403 | 2009-12-22 |
| 1700254414 | Secaucus Physician Associates | Hospitalist | 55 Meadowlands Pkwy, Secaucus, NJ 07094 | 2015-09-11 |
| 1184058653 | Smita Mathur | Hospitalist | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2013-09-02 |
| 1487957197 | Meadowlands Pediatric Hospitalists, LLC | Hospitalist | 55 Meadowlands Pkwy, Secaucus, NJ 07094-2977 | 2010-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719107 | Heidi Morinvil | Hospitalist | 100 Bowman Dr Lowr Level, Voorhees, NJ 08043-9612 | 2020-01-13 |
| 1679004261 | Samir Nirola | Hospitalist | 2225 Evesham Road, Suite 101, Virtua Graduate Medical Education, Voorhees, NJ 08043-1557 | 2017-03-24 |
| 1568993632 | Qamar Khan | Hospitalist | 415-425 Jack Martin Blvd, Brick Township, NJ 08724 | 2017-03-21 |
| 1437520889 | Hunterdon Specialty Care, PC | Hospitalist | 3 Minneakoning Rd, Flemington, NJ 08822-5726 | 2015-10-12 |
| 1053799643 | Pooja Pulijaal | Hospitalist | 1 Robert Wood Johnson Pl # Place256, New Brunswick, NJ 08901-1928 | 2015-05-14 |
| 1548689763 | Mansi Ramesh Shah | Hospitalist | 125 Paterson St Ste 5200, New Brunswick, NJ 08901 | 2014-04-15 |
| 1629496880 | Ryan M Monti | Hospitalist | 1 Bay Avenue Montclair, Montclair, NJ 07042 | 2014-04-03 |
| 1467873729 | Pascack Physician Services | Hospitalist | 300 Old Hook Rd, Westwood, NJ 07675-3122 | 2014-01-03 |
| 1063754034 | Barbara Onyia | Hospitalist | 13 Petunia Dr, North Brunswick, NJ 08902-3738 | 2013-03-18 |
| 1639430754 | Shah Medical Associates, LLC | Hospitalist | 1330 Route 206, Suite 130-330, Skillman, NJ 08558-1921 | 2012-06-05 |
| Find all providers with the same taxonomy | ||||
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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.