BERGEN GASTROENTEROLOGY PC (NPI# 1659799328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659799328 |
| Entity Type | Organization |
| Organization Name | BERGEN GASTROENTEROLOGY PC |
| Other Organization Name | BERGEN GASTROENTEROLOGY PARAMUS OFFICE |
| Practice Address |
1 W Ridgewood Ave Suite 301 Paramus NJ 07652-2359 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 2014451660 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-03-31 |
| Authorized Official Name | KENNY HEINE (VP OF OPERATIONS) |
| Authorized Official Telephone | 8589641506 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA06565600 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| Bergen Gastroenterology Paramus Office | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
| 1972531523 | Bergen Gastroenterology PC | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-06-30 |
| Street Address |
1 W RIDGEWOOD AVE SUITE 301 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953902 | Rajnik W Raab | Neurological Surgery | 1 W Ridgewood Ave, Ste 208, Paramus, NJ 07652-2350 | 2005-06-21 |
| 1992217616 | Pathik Tuhin Suvarnakar | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2017-11-03 |
| 1891243606 | Hemin Vaidya | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2016-09-21 |
| 1215383443 | Alison Elizabeth Cooper | Nurse Practitioner | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652 | 2016-05-06 |
| 1952769960 | Geriatrics and Internal Medicine Associates of Northeast LLC | Internal Medicine | 1 W Ridgewood Ave, Suite 203, Paramus, NJ 07652-2359 | 2016-02-04 |
| 1588034078 | Cityscape Anesthesia Pllc | Anesthesiology | 1 W Ridgewood Ave, Suite G03, Paramus, NJ 07652-2359 | 2015-09-28 |
| 1194121814 | Kyle Christopher D'amico | Physical Medicine & Rehabilitation | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2014-11-06 |
| 1508298241 | Alpha Diagnostic of New Jersey LLC | Radiology | 1 W Ridgewood Ave, Suite G01-g02, Paramus, NJ 07652-2359 | 2013-08-05 |
| 1194061168 | Rakesh Patel Md PC | Specialist | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652-2359 | 2012-12-19 |
| 1639413396 | Alpha Transportation, LLC | Non-emergency Medical Transport (VAN) | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023389590 | Dr Howard S Glazer Consulting LLC | Non-Pharmacy Dispensing Site | 264 Beechwood Dr, Paramus, NJ 07652-3303 | 2012-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
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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.