BERGEN HEART CENTER PC NPI 1073727483

NPI Information

NPI: 1073727483
Provider Name: BERGEN HEART CENTER, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
85 CHESTNUT RIDGE RD
SUITE 11
MONTVALE, NJ
ZIP 07645
Phone: (201) 444-9913
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BERGEN HEART CENTER, PC is a specialist in Montvale, NJ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BERGEN HEART CENTER, PC NPI is 1073727483. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

85 CHESTNUT RIDGE RD
SUITE 11
MONTVALE, NJ
ZIP 07645-827
Phone: (201) 444-9913
Fax: (201) 844-6158

The provider's authorized official is Perminder Grewal .
The authorized official title is Delegated Official and has the following contact phone number (201) 444-9913.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/5/2010.

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
1	174400000X	Specialist		25MA04252600	NEW JERSEY	Yes

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
1	116489	MEDICARE PIN	NEW JERSEY
2	7794956	OTHER	NEW JERSEY	AETNA PPO GROUP#
3	2864697000	OTHER	NEW JERSEY	AMERIHEALTH GROUP#
4	1599845	OTHER	NEW JERSEY	AETNA HMO GROUP#

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: 5/5/2024

NPI Synchronization or Removal

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