Preprogen

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PREPROGEN

Practice address

136 Summit Ave Ste 100
Montvale, NJ 07645-1756

Phone

(845) 774-5132

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Mayer Goldberger

Title

Ceo

Phone

(845) 774-5132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1083452767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUMMIT AVE STE 100",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451756",
            "telephone_number": "845-774-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SUMMIT AVE STE 100",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451756",
            "telephone_number": "845-774-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREPROGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "GOLDBERGER",
        "authorized_official_first_name": "MAYER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "845-774-5132"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Pizzichetta, PT, DPT
• Plasker Chiropractic Corporation
• Jordan E Plasker, D.C.
• Podiatry Foot & Ankle Institute
• Vincent Porta Jr., D.C.
• Prescription Dynamics
• Priority Health and Wellness of Montvale, LLC
• Professional Orthopedic and Sports Physical Therapy, PC
• Prosepera Billing Services
• James Psathas, PT, DPT

• Clinical Medical Laboratory in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.