BERGEN KIDNEY CENTER (NPI# 1679770952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679770952 |
| Entity Type | Organization |
| Organization Name | BERGEN KIDNEY CENTER |
| Practice Address |
300 Grand Avenue Suite 101 Englewood NJ 07631-6581 |
| Mailing Address |
300 Grand Ave Suite 101 Englewood NJ 07631-4398 |
| Practice Telephone | 2015675787 |
| Practice Fax Number | 2015677652 |
| Mailing Telephone | 2015675787 |
| Mailing Fax Number | 2015677652 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | DR. MIREL I. ABRAMOVICI (OWNER) |
| Authorized Official Telephone | 2015675787 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
MA057981 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6097201 | 05 |
| Street Address |
300 GRAND AVENUE SUITE 101 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-6581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1831152966 | Louis C. Jan | Internal Medicine | 140 Grand Ave, Englewood, NJ 07631-3507 | 2006-04-10 |
| 1518944768 | Susan M Clifford | Internal Medicine | 300 Grand Ave Ste 101, Englewood, NJ 07631-6300 | 2005-12-29 |
| 1639150840 | Austin M Pattner | Internal Medicine | 177 N Dean St, Suite 207, Englewood, NJ 07631-2533 | 2005-11-07 |
| 1609134576 | Marc Zelkowitz | Internal Medicine | 300 Grand Ave Ste 101, Englewood, NJ 07631-6300 | 2012-04-30 |
| 1851597454 | Ralph R Hallac Md | Internal Medicine | 200 Grand Ave, Englewood, NJ 07631-4371 | 2007-06-21 |
| 1548475866 | Steven F. Frier, M.d. | Internal Medicine | 370 Grand Ave, 102, Englewood, NJ 07631-4154 | 2007-05-11 |
| 1215961958 | Mirel I Abramovici | Internal Medicine | 140 Grand Ave, Englewood, NJ 07631-6581 | 2006-07-10 |
| 1013998210 | Deborah A Fein | Internal Medicine | 177 N Dean St, Englewood, NJ 07631-2533 | 2005-11-07 |
| 1245211440 | Gerald Grodstein | Internal Medicine | 177 N Dean St, Suite 207, Englewood, NJ 07631-2533 | 2005-11-07 |
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|---|---|---|---|---|
| 1861091878 | Vitality Medical Associates | Internal Medicine | 561 East 28th Street, Paterson, NJ 07504-1862 | 2020-10-21 |
| 1396377784 | Dr Walead Latif Professional Corporation | Internal Medicine | 1 Thistle Ln, Warren, NJ 07059-5564 | 2020-02-04 |
| 1225508203 | Arianna Hope Sanborn | Internal Medicine | 1261 Route 38 Ste A, Hainesport, NJ 08036-2702 | 2018-12-03 |
| 1518417203 | Ajay Singh | Internal Medicine | 6 Bradford Ct, West Windsor, NJ 08550-3032 | 2016-10-06 |
| 1124571849 | Kathryn Anne Feldenzer | Internal Medicine | 41 Endicott Rd, Hamilton Square, NJ 08690-2145 | 2016-07-28 |
| 1104272368 | Aruna Yeldanidi Md LLC | Internal Medicine | 19 Cornell Dr, Livingston, NJ 07039-5504 | 2016-05-06 |
| 1972997146 | Adedamola Moji Adeboye | Internal Medicine | 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 | 2015-03-25 |
| 1457757726 | Vascular Access Center of Central New Jersey LLC | Internal Medicine | 1 Wills Way, Piscataway, NJ 08854-3770 | 2014-11-13 |
| 1851706410 | Eric S. Cantor | Internal Medicine | 1 Cedar Brook Drive, Cranbury, NJ 08512 | 2014-06-23 |
| 1821410192 | Lilian Saro-nunez | Internal Medicine | 360 Essex St Ste 304, Hackensack, NJ 07601-8566 | 2014-01-06 |
| 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.