Bergen Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BERGEN PHYSICAL THERAPY

Practice address

31-00 Broadway
Fair Lawn, NJ 07410-3963

Phone

(973) 444-9025

NPI assigned

Nov 21, 2011

Last updated

Mar 23, 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

Mr. Giovanni Duran

Title

President

Phone

(973) 444-9025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332460800000",
    "number": "1295002087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31-00 BROADWAY",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074103963",
            "telephone_number": "973-444-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2012-03-23",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-444-9025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Chiropractic and Performance
• Bergen County Anesthesia LLC
• Bergen Endocrinology, PC
• Bergen Enterprises Center LLC (North Jersey Recovery Center)
• Bergen Passaic Periodontal Group, PA
• Bergen-Passaic Cataract Laser and Surgery Center, LLC (Bergen-Passaic Eye Surgery Center)
• Deborah Dorothea Berger, LPC
• John Lee Berger, MD
• Stephanie Bergery, RN
• Ahuva Bergman, M.D.

• Physical Therapist in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.