Bergen Orthodontic Assoc., PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8033, 2174 Issued in NJ

Legal business name

BERGEN ORTHODONTIC ASSOC., PA

Practice address

500 Piermont Rd
Closter, NJ 07624-2845

Phone

(201) 768-4121

Fax

(201) 768-3495

NPI assigned

Apr 10, 2007

Last updated

Feb 27, 2008By 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

Dr. Martin Stanley Levitt, D.D.S.

Title

President

Phone

(201) 768-4121

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1265655310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242845",
            "telephone_number": "201-768-4121",
            "fax_number": "201-768-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PIERMONT RD",
            "city": "CLOSTER",
            "state": "NJ",
            "postal_code": "076242845",
            "telephone_number": "201-768-4121",
            "fax_number": "201-768-3495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN ORTHODONTIC ASSOC., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "LEVITT",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-768-4121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "8033, 2174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sana Alomari
• Alan Douglas Andrews, M.D.
• Norman G Bartner, DMD
• Bergen Healthcare LLC
• Bergen Home Care LLC (Comfort Keepers)
• Bergen Orthopaedic Surgery & Sports Medicine
• Michael Ryan Blanco, DPT
• Mona Teresa Lynch Boland, APN
• Kelly Ann Braun, LCSW
• David Christopher Buckner, LMT

• Orthodontics and Dentofacial Orthopedics Dentistry in Closter, NJ
• Providers in Closter, NJ by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.