Bergen Medical Group, P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

25MA04675800 Issued in NJ

Legal business name

BERGEN MEDICAL GROUP, P.C.

Practice address

233 W Absecon Blvd
Absecon, NJ 08201-2403

Phone

(609) 484-1001

Fax

(609) 484-1004

NPI assigned

Jan 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Blair Alexander Bergen I, M.D.

Title

President

Phone

(609) 484-1001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Anne Petit, M.D.

  • Obstetrics & Gynecology Physician
  • Galloway, NJ
  • NPI 1578615084
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063566636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 WILSON DR",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252569",
            "telephone_number": "609-484-1001",
            "fax_number": "609-484-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W ABSECON BLVD",
            "city": "ABSECON",
            "state": "NJ",
            "postal_code": "082012403",
            "telephone_number": "609-484-1001",
            "fax_number": "609-484-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGEN",
        "authorized_official_first_name": "BLAIR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-484-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA04675800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7850905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zahara Ayub, DDS
• Patricia M Belle, LPN
• Dana Marie Belletiere, LICSW, MSED
• Marie Bellevue
• Billie Byron Benton, LCSW
• Berges Family Dentistry LLC
• Caitlin K Berthold, PHARMD
• Cheryl Brandt, MA, NCC, LAC
• Salvatore A Carfagno Jr., DO
• Caringhouse Projects, Inc

• Obstetrics & Gynecology Physician in Absecon, NJ
• Providers in Absecon, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• 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.