Bergen Clinical Labs, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

0266 Issued in NJ

Legal business name

BERGEN CLINICAL LABS, INC.

Practice address

40 Engle St
Englewood, NJ 07631-2905

Phone

(201) 569-1332

NPI assigned

Mar 12, 2007

Last updated

Mar 5, 2014By 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

Ms. Isabelle Tarikyan

Title

Cfo

Phone

(201) 569-1332

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Vladimir Kilinsky, M.D.

  • Obstetrics & Gynecology Physician
  • Englewood, NJ
  • NPI 1942218623
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1366574550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-569-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312905",
            "telephone_number": "201-569-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN CLINICAL LABS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "TARIKYAN",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "201-569-1332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NJ",
            "license": "0266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4622201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chena A Benson-Davis, CBD
• Elaina Berd-Vergier, D.D.S.
• Nancy Berg
• Bergen Anesthesia and Pain Management LLC
• Bergen Anesthesia Group
• Bergen County Gynecology, P.C.
• Bergen Hand Rehabilitation, LLC
• Bergen Imaging Ctr PA
• Bergen Kidney Center PC
• Bergen Laparoscopy & Bariatrics Associates LLC

• Clinical Medical Laboratory in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Medical Laboratory in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.