Bergen Bariatric and Surgical Solutions PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

BERGEN BARIATRIC AND SURGICAL SOLUTIONS PC

Practice address

260 Old Hook Road,
Suite 303a
Westwood, NJ 07675-3123

Phone

(201) 778-5344

Fax

(201) 778-5399

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail A. Botvinov, D.O.NPI 1760685622

Title

Owner

Phone

(201) 693-2653

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mikhail A Botvinov, D.O.

  • Surgery Physician
  • Westwood, NJ
  • NPI 1760685622
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1144730987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ROBYN CT",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301464",
            "telephone_number": "201-778-5344",
            "fax_number": "201-778-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OLD HOOK ROAD,",
            "address_2": "SUITE 303A",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753123",
            "telephone_number": "201-778-5344",
            "fax_number": "201-778-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN BARIATRIC AND SURGICAL SOLUTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "BOTVINOV",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-693-2653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Benaquista
• Victoria Benitez, MPT
• Renee M Benjamin, MSW, LCSW
• Kathleen Bente, DC
• Bergen Acupuncture and Integrative Medicine, LLC
• Bergen Community Health Care
• Bergen County Center for Educational & Psychological Services, LLC
• Bergen Pediatric Speech Therapy
• Bergen Pediatric Therapy Center
• Bergen Periodontic Assoc LLC

• Surgery Physician in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.