Bergen Thoracic and Vascular Associates P.C.

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

Last updated

Mar 3, 2014By 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

Michael Lawrence Schwartz, M.D.NPI 1013915784

Title

Sectary

Phone

(845) 362-0075

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 11

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.

• Kurt Richard Wengerter, MD

  • Vascular Surgery Physician
  • Englewood, NJ
  • NPI 1265491880
  Medicare reassignment Care Compare group NPD
• Lyall Arnold Gorenstein

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Pomona, NY
  • NPI 1770580565

  NJ

  Medicare reassignment Care Compare group NPD
• Michael Lawrence Schwartz

  • Surgery Physician
  • Pomona, NY
  • NPI 1013915784

  NJ

  Medicare reassignment NPD Authorized official
• Sean Patrick Wengerter, MD, RPVI

  • Vascular Surgery Physician
  • Pomona, NY
  • NPI 1003259532

  NJ

  Medicare reassignment Care Compare group NPD
• Theresa Marie Impeduglia, M.D.

  • Vascular Surgery Physician
  • Hackensack, NJ
  • NPI 1336189786
  Medicare reassignment NPD
• Hung Michael Choi

  • Surgery Physician
  • Pomona, NY
  • NPI 1265439848

  NJ

  Medicare reassignment NPD
• Mark Ellis Ginsburg, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
  • NPI 1992702575

  NJ

  Medicare reassignment NPD
• Joshua Robert Sonett

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • New York, NY
  • NPI 1295732824

  NJ

  Medicare reassignment NPD
• Susan M Dreiss-Carroll, RPA-C

  • Medical Physician Assistant
  • Pomona, NY
  • NPI 1740288398

  NJ

  Medicare reassignment
• Robin Weems, PA

  • Physician Assistant
  • Lewes, DE
  • NPI 1669472031

  NJ

  Medicare reassignment
• Marissa Forte, PA

  • Physician Assistant
  • Pomona, NY
  • NPI 1023406972
  NPD (past)

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": []
}

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• Austin Noah Berger, MD
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• Shoshana Dachs Bergman, PSY.D.
• Pauline Dorothy Bergstein, PH.D.

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New Jersey

• 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.