Bergen West Pediatric Center, PA

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BERGEN WEST PEDIATRIC CENTER, PA

Practice address

541 Cedar Hill Ave
Wyckoff, NJ 07481-2150

Phone

(201) 652-0300

Fax

(201) 444-6209

NPI assigned

Mar 20, 2006

Last updated

Mar 14, 2012By 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

Kathleen M. Cerkvenik, MDNPI 1740249671

Title

President

Phone

(201) 652-0300

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kathleen M. Cerkvenik, MD

  • Pediatrics Physician
  • Wyckoff, NJ
  • NPI 1740249671
  Authorized official Same address or phone

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1285693119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-0300",
            "fax_number": "201-444-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 CEDAR HILL AVE",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074812150",
            "telephone_number": "201-652-0300",
            "fax_number": "201-444-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN WEST PEDIATRIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "CERKVENIK",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-652-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theodore James Beke, MD
• Utpalkumar Bele, OTR
• Helen Hanna Benjamin
• Bergen Mental Health Counseling of New Jersey LLC
• Bergen Smile Confidence,P.a.
• Bergen-Passaic Womens Health Center LLC
• Harold Ira Berger, D.M.D.
• Maria Bellla Bernardo-Decurtis, PT, MS
• Stephen A Beukas, D.M.D.
• Melanie B Bieber, LPC

• Pediatrics Physician in Wyckoff, NJ
• Providers in Wyckoff, NJ by specialty
• Pediatrics Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.