Bergen Passaic Pediatric Neurology

Primary specialty

Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X

License

25MA05494400 Issued in NJ

Legal business name

BERGEN PASSAIC PEDIATRIC NEUROLOGY

Practice address

66 Glen Ave
Glen Rock, NJ 07452-2132

Phone

(201) 796-9500

Fax

(201) 796-9509

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Judy Woo, M.D.NPI 1093759938

Title

Member

Phone

(201) 796-9500

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1092/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judy Woo, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Glen Rock, NJ
  • NPI 1093759938
  NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1417009077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074520919",
            "telephone_number": "201-796-9500",
            "fax_number": "201-796-9509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 GLEN AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522132",
            "telephone_number": "201-796-9500",
            "fax_number": "201-796-9509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PASSAIC PEDIATRIC NEUROLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-796-9500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NJ",
            "license": "25MA05494400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lemaire Bauch-Murphy, D.C.
• Kevin Bauman, PT, DPT
• Begin Behavioral Health
• Belinda Beilman
• Blerta Bena, LPC
• Loverna Abella Bero, PT DPT
• Brittany Bertani, PSY.D.
• Kelly Bhuva, PHMNP- C, CPNP
• Melissa Bilbao, OTR/L
• Bruce Walter Bitzer, D.M.D.

• Neurology with Special Qualifications in Child Neurology Physician in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Neurology with Special Qualifications in Child Neurology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.