Bergen Total Health LLC
Organization Active NPI Gerontology Nurse Practitioner · Cresskill, NJ
NPI 1124376181 · NPPES record last updated May 15, 2018
Key facts
- NPI
- 1124376181
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 26NJ00816800 (NJ)
- Legal business name
- BERGEN TOTAL HEALTH LLC
- Practice address
- 135 County Rd Ste 2a
Cresskill, NJ 07626 - Phone
- (201) 290-5002
- Fax
- (201) 569-0500
- NPI assigned
- Aug 24, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas Campione, APN-C, D.C.
- Title
- Sole Member
- Phone
- (201) 569-0500
Practitioners 3
-
Thomas Campione, APN-C, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121211000061 | NJ | Part B Supplier - Clinic/Group Practice | 3870745235 |
Receives reassigned benefits from 2 practitioners Practice locations: Cresskill, NJ |
National Provider Directory
Locations
135 County Rd
#2A
Cresskill, NJ 07626
Phone (201) 569-0500
135 County Rd
Ste 2A
Cresskill, NJ 07626
Phone (201) 569-0500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor |
111NN0400X | 38MC00524400 | NJ | |
| Gerontology Nurse Practitioner |
363LG0600X | 26NJ00816800 | NJ | Yes |
Addresses
Primary practice location
135 County Rd Ste 2a
Cresskill, NJ 07626
Mailing address
135 County Rd
Suite 2a
Cresskill, NJ 07626-2203
Phone (201) 569-0500
Other providers in Cresskill, NJ
- Talar Arslanian
- Alessandra Baggitt
- Joo Jin Bahk
- Julie Lichty Balay
- Alyssa Beni-Shore
- Mary Blome
- Borough of Cresskill
- Jaime Boyce
- Brain Training Associates LLC
- Gary Jules Brauner
All providers in Cresskill, NJ · Gerontology Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.