Organization Active NPI

Bergen Neurology & Pain Management LLC

  • Neurology Physician
  • Saddle Brook, NJ
National Provider Identifier
1225562176
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA08433600 Issued in NJ
Legal business name
BERGEN NEUROLOGY & PAIN MANAGEMENT LLC
Practice address
480 Market St Ste 2
Saddle Brook, NJ 07663-5932
Phone
(201) 250-8088
Fax
(201) 546-7084
NPI assigned
Apr 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Dr. Ravinder Tikoo, MD
Title
Owner
Phone
(917) 536-8940

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X 25MA08433600 NJ Primary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X 25MA08433600 NJ

Addresses

Primary practice location

480 Market St Ste 2
Saddle Brook, NJ 07663-5932

Mailing address

209 Bennington Ter
Paramus, NJ 07652-1335
Phone (917) 536-8940

National Provider Directory

National Provider Directory

Locations

230 E Ridgewood Ave
Bldg 62
Paramus, NJ 07652
Phone (201) 225-4700

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1225562176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BENNINGTON TER",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521335",
            "telephone_number": "917-536-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 MARKET ST STE 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635932",
            "telephone_number": "201-250-8088",
            "fax_number": "201-546-7084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN NEUROLOGY & PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-18",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "TIKOO",
        "authorized_official_first_name": "RAVINDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-536-8940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08433600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.