Bergen Pediatric Therapy Center

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

46TR00322900 Issued in NJ

Legal business name

BERGEN PEDIATRIC THERAPY CENTER

Practice address

354 Old Hook Rd
Suite 104
Westwood, NJ 07675-3246

Phone

(201) 722-4700

Fax

(201) 722-4751

NPI assigned

May 14, 2009

Last updated

May 14, 2009By 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

Mr. Victor Wang

Title

Director

Phone

(201) 722-4700

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242259200000",
    "number": "1205060589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 104",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-722-4700",
            "fax_number": "201-722-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 OLD HOOK RD",
            "address_2": "SUITE 104",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076753246",
            "telephone_number": "201-722-4700",
            "fax_number": "201-722-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PEDIATRIC THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-722-4700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NJ",
            "license": "46TA09005200",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00016700",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00035200",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00480300",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00474300",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "46TR00322900",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "41YS00541700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Acupuncture and Integrative Medicine, LLC
• Bergen Bariatric and Surgical Solutions PC
• Bergen Community Health Care
• Bergen County Center for Educational & Psychological Services, LLC
• Bergen Pediatric Speech Therapy
• Bergen Periodontic Assoc LLC
• Nisha Bhatt, PT, MS
• Glen M Bianchi, MD
• Nicholas Joseph Biancola Jr., MSW., LCSW
• Katarina Bieri

• Pediatric Occupational Therapist in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Pediatric Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.