NPIMap

Organization Active NPI

Bergen Thoracic and Vascular Associates P.C.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Englewood, NJ
National Provider Identifier
1154742872
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BERGEN THORACIC AND VASCULAR ASSOCIATES P.C.
Practice address
350 Engle Street - 2 East (Floor)
C/O Englewood Hospital and Medical Center
Englewood, NJ 07631
Phone
(201) 569-1107
Fax
(201) 569-1108
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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

Authorized official

Name
Michael Lawrence Schwartz, M.D.NPI 1013915784
Title
Sectary
Phone
(845) 362-0075

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X Primary

Addresses

Primary practice location

350 Engle Street - 2 East (Floor)
C/O Englewood Hospital and Medical Center
Englewood, NJ 07631

Mailing address

5A Medical Park Drive
Rockland Thoracic & Vascular Associates, P.C.
Pomona, NY 10970
Phone (845) 362-0075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140311000544 NJ Part B Supplier - Clinic/Group Practice 0042440174 Receives reassigned benefits from 10 practitioners
Practice locations: Englewood, NJ

National Provider Directory

National Provider Directory

Locations

350 Engle St
#6585
Englewood, NJ 07631

350 Engle St
Ste 65
Englewood, NJ 07631
Phone (201) 408-5195

350 Engle St
Ste 2
Englewood, NJ 07631
Phone (201) 227-5533

350 Engle St
Ste 6586
Englewood, NJ 07631
Phone (201) 408-5195

350 Engle St
Fl 66501
Englewood, NJ 07631

25 Rockwood Pl
Ste 202
Englewood, NJ 07631
Phone (201) 567-1919

350 Engle St
#6586
Englewood, NJ 07631

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393804800000",
    "number": "1154742872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5A MEDICAL PARK DRIVE",
            "address_2": "ROCKLAND THORACIC & VASCULAR ASSOCIATES, P.C.",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "10970",
            "telephone_number": "845-362-0075",
            "fax_number": "845-362-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ENGLE STREET - 2 EAST (FLOOR)",
            "address_2": "C/O ENGLEWOOD HOSPITAL AND MEDICAL CENTER",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "07631",
            "telephone_number": "201-569-1107",
            "fax_number": "201-569-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN THORACIC AND VASCULAR ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-03-03",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LAWRENCE",
        "authorized_official_title_or_position": "SECTARY",
        "authorized_official_telephone_number": "845-362-0075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Mar 3, 2014; 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.