Bergen Surgical Oncology, PA

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

25MA05981200 Issued in NJ

Legal business name

BERGEN SURGICAL ONCOLOGY, PA

Practice address

1 Valley Health PLZ
Paramus, NJ 07652-3628

Phone

(201) 634-5438

Fax

(201) 634-5352

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Anusak Yiengpruksawan, MD

Title

President

Phone

(201) 634-5438

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1083876171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523628",
            "telephone_number": "201-634-5438",
            "fax_number": "201-634-5352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523628",
            "telephone_number": "201-634-5438",
            "fax_number": "201-634-5352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN SURGICAL ONCOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "YIENGPRUKSAWAN",
        "authorized_official_first_name": "ANUSAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-634-5438",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "NJ",
            "license": "25MA05981200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Pain Management PC
• Bergen Psychotherapy & Group, P.C.
• Bergen Regional Anesthesiology Group PA
• Bergen Regional Medical Center
• Bergen Surgical Center
• Bergen Womens Health Care LLC
• Molly Caryn Berger, LSW
• Amoreena Berkley, LCSW
• Carol Berman, SW
• Raffaele Mario Bernardo, DO, FACP, AAHIVS

• Surgical Oncology Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Surgical Oncology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.