Bergenline Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BERGENLINE MEDICAL SUPPLY INC

Practice address

2115 Bergenline Ave
Union City, NJ 07087-3507

Phone

(201) 866-0001

Fax

(201) 866-0386

NPI assigned

Sep 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Angel L Perez

Title

President

Phone

(201) 866-0001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215039425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873507",
            "telephone_number": "201-866-0001",
            "fax_number": "201-866-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 BERGENLINE AVE",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873507",
            "telephone_number": "201-866-0001",
            "fax_number": "201-866-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENLINE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-866-0001",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Niveen Bebawy, M.D.
• Natali Ben-Naim
• Irma Benoit, P.T
• Bergenline Dental Group
• Bergenline Foot Care LLC
• Bergenline Meds LLC
• Bergenline Smiles PC
• Bergenline X Ray Diagnostic Center Corp
• Estefania Monserrat Bermeo-Paredes, MA
• Gabriela Bernat, PHARMD

• Durable Medical Equipment & Medical Supplies in Union City, NJ
• Providers in Union City, NJ by specialty
• Durable Medical Equipment & Medical Supplies in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.