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BERGEN SPINE ASSOCIATES NPI 1124470786


NPI Information

NPI: 1124470786
Provider Name: BERGEN SPINE ASSOCIATES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
50 CLINTON PL STE 6
HACKENSACK, NJ
ZIP 07601
Phone: (201) 880-6204
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BERGEN SPINE ASSOCIATES is a primary care clinic center in Hackensack, NJ. BERGEN SPINE ASSOCIATES NPI is 1124470786. The provider is registered as an organization entity type.

The provider's business location address is:

50 CLINTON PL STE 6
HACKENSACK, NJ
ZIP 07601-580
Phone: (201) 880-6204
Fax: (201) 880-6206

The provider's authorized official is Roman Kosiborod .
The authorized official title is Medical Director and has the following contact phone number (201) 880-6204.

The enumeration date for this NPI number is 7/7/2016 and was last updated on 7/7/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care25MB07566200NEW JERSEYYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.