Bergen Total Health LLC

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00816800 Issued in 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

Last updated

May 15, 2018By 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. Thomas Campione, APN-C, D.C.NPI 1063583250

Title

Sole Member

Phone

(201) 569-0500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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.

• Thomas Campione, APN-C, DC

  • Gerontology Nurse Practitioner
  • Cresskill, NJ
  • NPI 1063583250

  Neurology

  Medicare reassignment NPD Authorized official
• Jennifer Rae-Ann Marshall, DPT

  • Physical Therapist
  • Cedar Knolls, NJ
  • NPI 1689639718
  Medicare reassignment NPD
• Pembe Bayram

  • Physical Therapist
  • Paterson, NJ
  • NPI 1669774220
  NPD

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

{
    "created_epoch": "1345766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1124376181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COUNTY RD",
            "address_2": "SUITE 2A",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262203",
            "telephone_number": "201-569-0500",
            "fax_number": "201-569-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COUNTY RD STE 2A",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "07626",
            "telephone_number": "201-290-5002",
            "fax_number": "201-569-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN TOTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-24",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "CAMPIONE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "201-569-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "APN-C, D.C."
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00816800",
            "primary": true
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NJ",
            "license": "38MC00524400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talar Arslanian
• Alessandra Baggitt, PA-C
• Joo Jin Bahk, RPH
• Julie Lichty Balay, MS, RD, CSSD
• Alyssa Beni-Shore, LCSW LLC
• Mary Blome, M.D.
• Borough of Cresskill
• Jaime Boyce, MS CCC-SLP
• Brain Training Associates LLC (LearningRx Cresskill)
• Gary Jules Brauner, MD

• Gerontology Nurse Practitioner in Cresskill, NJ
• Providers in Cresskill, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.