Bergen-Passaic Cataract Laser and Surgery Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC

Doing business as

Bergen-Passaic Eye Surgery Center

Practice address

18-01 Pollitt Dr
Suite 4
Fair Lawn, NJ 07410-2813

Phone

(201) 414-5649

Fax

(201) 398-9132

NPI assigned

Aug 24, 2005

Last updated

Sep 5, 2017By 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

Mrs. Caroline I Hauser

Title

Administrator

Phone

(201) 414-5649

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Bergen-Passaic Eye Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Bergenpassaic Cataract Laser and Surgery Center LLCCCN 31C0001023

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Virtua - Memorial Hospital Burlington County, Inc

  dba Memorial Hospital of Burlington County - Psychiatry Unit

  • Psychiatric Hospital Unit
  • Mount Holly, NJ
  • NPI 1174529846

  Member Of

  NPD member

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1376536417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "address_2": "SUITE 4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-414-5649",
            "fax_number": "201-398-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-01 POLLITT DR",
            "address_2": "SUITE 4",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102813",
            "telephone_number": "201-414-5649",
            "fax_number": "201-398-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN-PASSAIC CATARACT LASER AND SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-414-5649",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "NK9611",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS",
            "identifier": "0074894",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BC BS OF NJ",
            "identifier": "311023",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490001083",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7465301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD INS",
            "identifier": "ANC847",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0001457000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91000613500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen-Passaic Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bergen County Anesthesia LLC
• Bergen Endocrinology, PC
• Bergen Enterprises Center LLC (North Jersey Recovery Center)
• Bergen Passaic Periodontal Group, PA
• Bergen Physical Therapy
• Deborah Dorothea Berger, LPC
• John Lee Berger, MD
• Stephanie Bergery, RN
• Ahuva Bergman, M.D.
• Catherine Mary Berke, BC-HIS

• Ophthalmologic Surgery Clinic/Center in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Ophthalmologic Surgery Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2017; 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.