Organization Active NPI

Bergen Heart Associates, LLC

  • Cardiovascular Disease Physician
  • Hackensack, NJ
National Provider Identifier
1013355494
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
BERGEN HEART ASSOCIATES, LLC
Practice address
211 Essex Street
Suite 104
Hackensack, NJ 07601-3244
Phone
(201) 489-3888
Fax
(201) 301-7351
NPI assigned
Jun 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Rajiv Patel, D.O.NPI 1134311756
Title
President
Phone
(201) 489-3888

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

211 Essex Street
Suite 104
Hackensack, NJ 07601-3244

Mailing address

211 Essex Street
Suite 104
Hackensack, NJ 07601-3244
Phone (201) 489-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140507000164 NJ Part B Supplier - Clinic/Group Practice 3779716394 Receives reassigned benefits from 1 practitioner
Practice locations: Hackensack, NJ; Paterson, NJ; Paramus, NJ

National Provider Directory

National Provider Directory

Locations

211 Essex St
#104
Hackensack, NJ 07601

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": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1013355494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX STREET",
            "address_2": "SUITE 104",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013244",
            "telephone_number": "201-489-3888",
            "fax_number": "201-301-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX STREET",
            "address_2": "SUITE 104",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013244",
            "telephone_number": "201-489-3888",
            "fax_number": "201-301-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN HEART ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-489-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.