BERGEN ENDOCRINOLOGY PC NPI 1023268976

NPI Information

  • NPI: 1023268976
  • Provider Name: BERGEN ENDOCRINOLOGY, PC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Address: 12-04 SADDLE RIVER RD
    FAIR LAWN, NJ
    ZIP 07410
  • Phone: (201) 773-8710

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NPI Details

BERGEN ENDOCRINOLOGY, PC is an endocrinology and diabetes and metabolism internal medicine in Fair Lawn, NJ. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. BERGEN ENDOCRINOLOGY, PC NPI is 1023268976. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12-04 SADDLE RIVER RD
FAIR LAWN, NJ
ZIP 07410-811
Phone: (201) 773-8710
Fax: (201) 773-8711

The provider's authorized official is Dima Yeshou .
The authorized official title is Md and has the following contact phone number (201) 281-7835.

The enumeration date for this NPI number is 9/29/2008 and was last updated on 10/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism25MA08384100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1143089MEDICARE PINNEW JERSEY
20190861MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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