BERGEN KIDNEY CENTER PC NPI 1679770952

NPI Information

  • NPI: 1679770952
  • Provider Name: BERGEN KIDNEY CENTER, PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 31D0940157
  • Address: 300 GRAND AVENUE
    SUITE 101
    ENGLEWOOD, NJ
    ZIP 07631
  • Phone: (201) 567-5787

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NPI Details

BERGEN KIDNEY CENTER, PC is a nephrology internal medicine in Englewood, NJ. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. BERGEN KIDNEY CENTER, PC NPI is 1679770952. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

300 GRAND AVENUE
SUITE 101
ENGLEWOOD, NJ
ZIP 07631-581
Phone: (201) 567-5787
Fax: (201) 567-7652

The provider's authorized official is Naomi Cassin .
The authorized official title is Credentialing Manager and has the following contact phone number (331) 216-1156.

The CLIA number assigned to this NPI record is 31D0940157 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2007 and was last updated on 11/11/2025.

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
1207RN0300XInternal MedicineNephrologyMA057981NEW 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: 11/21/2025

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