NPIMap

Organization Active NPI

Bergen P.T. Associates, LLC

  • Physical Therapy Clinic/Center
  • Elmwood Park, NJ
National Provider Identifier
1013075654
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
40QA00296600 Issued in NJ
Legal business name
BERGEN P.T. ASSOCIATES, LLC
Practice address
495 Boulevard
Unit 4
Elmwood Park, NJ 07407-2041
Phone
(201) 370-7195
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Howard James Phillips, PT, PHD OCS, FAAOMPTNPI 1184782716
Title
Owner
Phone
(201) 370-7195

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 40QA00296600 NJ Primary

Addresses

Primary practice location

495 Boulevard
Unit 4
Elmwood Park, NJ 07407-2041

Mailing address

495 Boulevard
Unit 4
Elmwood Park, NJ 07407-2041
Phone (201) 370-7195

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013075654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 BOULEVARD",
            "address_2": "UNIT 4",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072041",
            "telephone_number": "201-370-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 BOULEVARD",
            "address_2": "UNIT 4",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "074072041",
            "telephone_number": "201-370-7195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN P.T. ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-370-7195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, PHD OCS, FAAOMPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA00296600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.