Active NPI
Columbiadoctors of Bergen County
- Orthopaedic Surgery Physician
- Englewood, NJ
National Provider Identifier
1124404868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- COLUMBIADOCTORS OF BERGEN COUNTY
- Practice address
- 500 Grand Ave
Englewood, NJ 07631-4967 - Phone
- (212) 305-4565
- Fax
- (212) 342-2941
- NPI assigned
- Aug 5, 2015
- Last updated
- Jan 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William Levine
- Title
- President
- Phone
- (212) 304-6309
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
500 Grand Ave
Englewood, NJ 07631-4967
Mailing address
400 Kelby St
Clinical Revenue Office, 7TH Floor
Fort Lee, NJ 07024
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
400 Kelby St
Ofc 7TH
Fort Lee, NJ 07024
Practitioners & affiliated clinicians
Practitioners 21
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.
-
- Sports Medicine (Family Medicine) Physician
- Englewood, NJ
- NPI 1669496469
-
- Family Nurse Practitioner
- Hazlet, NJ
- NPI 1891179917
-
- Surgery of the Hand (Surgery) Physician
- New York, NY
- NPI 1679520381
NJ, Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642118400000",
"number": "1124404868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 KELBY ST",
"address_2": "CLINICAL REVENUE OFFICE, 7TH FLOOR",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "07024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GRAND AVE",
"city": "ENGLEWOOD",
"state": "NJ",
"postal_code": "076314967",
"telephone_number": "212-305-4565",
"fax_number": "212-342-2941"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLUMBIADOCTORS OF BERGEN COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-05",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "212-304-6309",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HL7 FHIR",
"address_1": "500 Grand Ave",
"city": "Englewood",
"state": "NJ",
"country_code": "US",
"postal_code": "076314967",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
"affiliation": "N",
"endpointDescription": "FHIR",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HL7 FHIR",
"address_1": "500 Grand Ave",
"city": "Englewood",
"state": "NJ",
"country_code": "US",
"postal_code": "076314967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Englewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; 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.