Organization Active NPI

Bergen Laparoscopic and General Surgery PA

  • Surgery Physician
  • Saddle Brook, NJ
National Provider Identifier
1336185131
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MB52216
Legal business name
BERGEN LAPAROSCOPIC AND GENERAL SURGERY PA
Practice address
449 B Market St
Saddle Brook, NJ 07663
Phone
(201) 712-7900
Fax
(201) 712-7902
NPI assigned
Jun 21, 2006
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Dr. John C Kollar, DONPI 1841227352
Title
Surgeon
Phone
(201) 712-7900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MB52216 Primary

Addresses

Primary practice location

449 B Market St
Saddle Brook, NJ 07663

Mailing address

449 B Market St
Saddle Brook, NJ 07663
Phone (201) 712-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101019000929 NJ Part B Supplier - Clinic/Group Practice 3476746769 Receives reassigned benefits from 1 practitioner
Practice locations: Saddle Brook, NJ

National Provider Directory

National Provider Directory

Locations

449B Market St
Saddle Brook, NJ 07663
Phone (201) 712-7900

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1336185131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "449 B MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-712-7900",
            "fax_number": "201-712-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "449 B MARKET ST",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-712-7900",
            "fax_number": "201-712-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN LAPAROSCOPIC AND GENERAL SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KOLLAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "201-712-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": "MB52216",
            "primary": true
        }
    ],
    "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 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.