Active NPI
Bergen County Improvement Authority
- Diagnostic Radiology Physician
- Paramus, NJ
National Provider Identifier
1356557607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BERGEN COUNTY IMPROVEMENT AUTHORITY
- Practice address
- 230 E Ridgewood Ave
Paramus, NJ 07652-4142 - Phone
- (201) 967-4000
- NPI assigned
- May 15, 2007
- 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
- Mauro Raguseo
- Title
- Executive Director of Bcia
- Phone
- (201) 336-6350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Mailing address
230 E Ridgewood Ave BLDG 10
Paramus, NJ 07652-4142
Phone (201) 967-4001
Other names 1
- Bergen New Bridge Medical Center Radiology Provider Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576540800000",
"number": "1356557607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E RIDGEWOOD AVE BLDG 10",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524142",
"telephone_number": "201-967-4001",
"fax_number": "201-225-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E RIDGEWOOD AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076524142",
"telephone_number": "201-967-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGEN COUNTY IMPROVEMENT AUTHORITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2019-12-17",
"certification_date": "2019-12-17",
"status": "A",
"authorized_official_last_name": "RAGUSEO",
"authorized_official_first_name": "MAURO",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF BCIA",
"authorized_official_telephone_number": "201-336-6350"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bergen New Bridge Medical Center Radiology Provider Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Paramus, NJ
- Bergen County Adult Day Care LLC (New Life Adult Day Care)
- Bergen County Board of Vocational Education (Bergen Regional EMS)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
- Bergen County Improvement Authority
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center Psychiatry Provider Group)
- Bergen County Improvement Authority (Bergen New Bridge Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.