NPIMap

Organization Active NPI

Bergen Perinatal Associates, LLC

  • Maternal & Fetal Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1053609867
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
Legal business name
BERGEN PERINATAL ASSOCIATES, LLC
Practice address
718 Teaneck Rd
Bergen Perinatal Assoc., 3Rd Floor - MFM
Teaneck, NJ 07666-4245
Phone
(201) 833-3535
Fax
(201) 833-3554
NPI assigned
Jul 13, 2011
Last updated
Jul 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Dr. Edward Wolf, MDNPI 1881696185
Title
President
Phone
(973) 322-5287

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
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X Primary

Addresses

Primary practice location

718 Teaneck Rd
Bergen Perinatal Assoc., 3Rd Floor - MFM
Teaneck, NJ 07666-4245

Mailing address

94 Old Short Hills Rd
St. Barnabus Medical Center - East Wing Suite 402
Livingston, NJ 07039-5672
Phone (973) 322-2843

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2030282Bergen Perinatal Associates, LLC718 Teaneck Road, 3Rd FL Maternal Fetal Medicine, Teaneck, NJ 07666Provider-performed microscopySep 25, 2027

National Provider Directory

National Provider Directory

Locations

94 Old Short Hills Rd
Ste 402
Livingston, NJ 07039
Phone (973) 322-5287

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1053609867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 OLD SHORT HILLS RD",
            "address_2": "ST. BARNABUS MEDICAL CENTER - EAST WING SUITE 402",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070395672",
            "telephone_number": "973-322-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 TEANECK RD",
            "address_2": "BERGEN PERINATAL ASSOC., 3RD FLOOR - MFM",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664245",
            "telephone_number": "201-833-3535",
            "fax_number": "201-833-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PERINATAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-13",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-322-5287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.