Bergen's Promise, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

BERGEN'S PROMISE, INC.

Practice address

3 University Plaza Drive
Suite 300
Hackensack, NJ 07601

Phone

(201) 712-1170

Fax

(201) 712-0391

NPI assigned

Mar 19, 2007

Last updated

Apr 20, 2022By 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

Mr. Dean Pastras, ACSW, LCSW

Title

Chief Executive Director

Phone

(201) 712-1170

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1083738868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLAZA DRIVE",
            "address_2": "SUITE 300",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-712-1170",
            "fax_number": "201-712-0391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 UNIVERSITY PLAZA DRIVE",
            "address_2": "SUITE 300",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "07601",
            "telephone_number": "201-712-1170",
            "fax_number": "201-712-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN'S PROMISE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "PASTRAS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-712-1170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8457905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.