BERGEN GASTROENTEROLOGY PC (NPI# 1972531523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972531523 |
| Entity Type | Organization |
| Organization Name | BERGEN GASTROENTEROLOGY PC |
| Practice Address |
466 Old Hook Rd Suite 1 Emerson NJ 07630-1396 |
| Practice Telephone | 2019678221 |
| Practice Fax Number | 2016349647 |
| Mailing Telephone | 2019678221 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2009-08-20 |
| Authorized Official Name | DR. ERIC S AVEZZANO (PRESIDENT/MD) |
| Authorized Official Telephone | 2019678221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
465837 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659799328 | Bergen Gastroenterology PC | Non-Pharmacy Dispensing Site | 1 W Ridgewood Ave, Suite 301, Paramus, NJ 07652-2359 | 2014-03-31 |
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
| Street Address |
466 OLD HOOK RD SUITE 1 |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285637025 | Vincent Francis Giacalone | Podiatrist | 466 Old Hook Rd, Ste 24d, Emerson, NJ 07630-1368 | 2005-05-24 |
| 1245837681 | Ginay Granda | Counselor | 466 Old Hook Rd, Emerson, NJ 07630-1396 | 2020-10-08 |
| 1801233176 | Bergen Gastroenterology P C | Non-Pharmacy Dispensing Site | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2013-05-28 |
| 1306169537 | Edward Costa | Podiatrist | 466 Old Hook Rd, Suite #1, Emerson, NJ 07630-1396 | 2010-03-02 |
| 1548594211 | Veena C Desai | Family Medicine | 466 Old Hook Rd, Bergen Medical Assoiciates Suite 1, Emerson, NJ 07630-1396 | 2009-09-28 |
| 1598927857 | Frank M.candido,m.d., P.a. | Internal Medicine | 466 Old Hook Rd, Suite 11& 12, Emerson, NJ 07630-1396 | 2008-06-27 |
| 1659556454 | Vincent F Giacalone | Durable Medical Equipment & Medical Supplies | 466 Old Hook Rd, Suite 24d, Emerson, NJ 07630-1396 | 2007-12-31 |
| 1821298795 | Sabrina L Tempesta | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630 | 2007-07-19 |
| 1669671327 | Melissa R Connolly | Obstetrics & Gynecology | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-13 |
| 1447457403 | Bergen Gastroenterology PC | Clinic/Center | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2007-07-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
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| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1598927857 | Frank M.candido,m.d., P.a. | Internal Medicine | 466 Old Hook Rd, Suite 11& 12, Emerson, NJ 07630-1396 | 2008-06-27 |
| 1679763890 | Bhavik Mukesh Bhandari | Internal Medicine | 466 Old Hook Rd Ste 1, Emerson, NJ 07630-1368 | 2007-07-25 |
| 1376646992 | Frank M Candido | Internal Medicine | 466 Old Hook Road, Emerson, NJ 07630 | 2006-09-07 |
| 1700890837 | Alyse R Bellomo | Internal Medicine | 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368 | 2006-07-27 |
| 1356372536 | Anthony R Delillo | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-07-05 |
| 1538190731 | Robert S Levine | Internal Medicine | 466 Old Hook Rd, Emerson, NJ 07630-1396 | 2006-07-05 |
| 1023048584 | Holly Cullen | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-07-03 |
| 1114955846 | Crystal N Broussard | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-06-29 |
| 1578591814 | Eric S Avezzano | Internal Medicine | 466 Old Hook Rd, Suite #1, Emerson, NJ 07630-1396 | 2006-06-28 |
| 1689601486 | Stephen J Margulis | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-06-27 |
| Find all providers in EMERSON | ||||
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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.