BERGEN SURGICAL ONCOLOGY PA NPI 1083876171

NPI Information

  • NPI: 1083876171
  • Provider Name: BERGEN SURGICAL ONCOLOGY, PA
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Organization
  • Address: 1 VALLEY HEALTH PLZ
    PARAMUS, NJ
    ZIP 07652
  • Phone: (201) 634-5438

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NPI Details

BERGEN SURGICAL ONCOLOGY, PA is a surgical oncology surgery in Paramus, NJ. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. BERGEN SURGICAL ONCOLOGY, PA NPI is 1083876171. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 VALLEY HEALTH PLZ
PARAMUS, NJ
ZIP 07652-628
Phone: (201) 634-5438
Fax: (201) 634-5352

The provider's authorized official is Anusak Yiengpruksawan .
The authorized official title is President and has the following contact phone number (201) 634-5438.

The enumeration date for this NPI number is 6/30/2008 and was last updated on 2/23/2010.

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
12086X0206XSurgerySurgical Oncology25MA05981200NEW 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
1E94793MEDICARE UPINNEW 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: 3/30/2025

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