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BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER LLC NPI 1376536417


NPI Information

NPI: 1376536417
Provider Name: BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC

Doing Business As: BERGEN-PASSAIC EYE SURGERY CENTER

Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
18-01 POLLITT DR
SUITE 4
FAIR LAWN, NJ
ZIP 07410
Phone: (201) 414-5649
Get Directions

BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC is an ophthalmologic surgery clinic center in Fair Lawn, NJ. BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC NPI is 1376536417. The provider is registered as an organization entity type.
The provider Is Doing Business As Bergen-passaic Eye Surgery Center.

The provider's business location address is:

18-01 POLLITT DR
SUITE 4
FAIR LAWN, NJ
ZIP 07410-813
Phone: (201) 414-5649
Fax: (201) 398-9132

The provider's authorized official is Caroline I Hauser .
The authorized official title is Administrator and has the following contact phone number (201) 414-5649.

The enumeration date for this NPI number is 8/24/2005 and was last updated on 9/5/2017.


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
1261QS0132XClinic/CenterOphthalmologic SurgeryYes

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
10074894OTHERNEW JERSEYAETNA INS
2490001083OTHERRAILROAD MEDICARE
3311023OTHERNEW JERSEYHORIZON BC BS OF NJ
491000613500OTHERNEW JERSEYAMERICHOICE
50001457000OTHERNEW JERSEYAMERIHEALTH
6NK9611OTHERNEW JERSEYHEALTHNET
7305494MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
8ANC847OTHERNEW JERSEYOXFORD INS
97465301MEDICAIDNEW 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: 5/5/2024

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