Bergen Orthopedic and Spine Group, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BERGEN ORTHOPEDIC AND SPINE GROUP, LLC

Practice address

401 Hackensack Ave
10TH Floor
Hackensack, NJ 07601-6411

Phone

(201) 343-3999

Fax

(201) 343-0554

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard Seldes, M.D.NPI 1023030830

Title

Owner

Phone

(201) 343-3999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Richard M Seldes, MD

  • Orthopaedic Surgery Physician
  • New York, NY
  • NPI 1023030830

  NJ

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013155308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE",
            "address_2": "10TH FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016411",
            "telephone_number": "201-343-3999",
            "fax_number": "201-343-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HACKENSACK AVE",
            "address_2": "10TH FLOOR",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016411",
            "telephone_number": "201-343-3999",
            "fax_number": "201-343-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN ORTHOPEDIC AND SPINE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SELDES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-343-3999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Home Care and Nursing Inc
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• Bergen Optometry Group, PA
• Bergen Optometry, LLC
• Bergen Oral Surgery Group PA
• Bergen Pain & Injury Center
• Bergen Post Acute Care, LLC
• Bergen Psychiatric Associates
• Bergen Psychiatric Associates
• Bergen Psychiatric Associates

• Specialist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.