Active NPI
Bergen Orthopedic and Sports Medicine
- Orthopaedic Surgery Physician
- Nutley, NJ
National Provider Identifier
1346134129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- BERGEN ORTHOPEDIC AND SPORTS MEDICINE
- Practice address
- 185 Kingsland St
Nutley, NJ 07110-1119 - Phone
- (973) 400-1770
- NPI assigned
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Neesha N Mohammed
- Title
- Operations Manager
- Phone
- (973) 400-1770
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Spinal Cord Injury Medicine Physician | 2081P0004X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X |
Addresses
Primary practice location
185 Kingsland St
Nutley, NJ 07110-1119
Mailing address
495 Allwood Rd Unit 4108
Clifton, NJ 07012-6822
Phone (973) 400-1770
National Provider Directory
National Provider DirectoryLocations
495 Allwood Rd
Unit 4108
Clifton, NJ 07012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1346134129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 ALLWOOD RD UNIT 4108",
"city": "CLIFTON",
"state": "NJ",
"postal_code": "070126822",
"telephone_number": "973-400-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 KINGSLAND ST",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071101119",
"telephone_number": "973-400-1770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGEN ORTHOPEDIC AND SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-05",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "MOHAMMED",
"authorized_official_first_name": "NEESHA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "973-400-1770",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.