Bergen Gastroenterology PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

308228 Issued in NJ

Legal business name

BERGEN GASTROENTEROLOGY PC

Practice address

466 Old Hook Rd
Suite 1
Emerson, NJ 07630-1396

Phone

(201) 967-8221

Fax

(201) 634-9647

NPI assigned

Jul 2, 2007

Last updated

Aug 20, 2009By 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. Barbara Eckert

Title

Billing Manager

Phone

(201) 967-2455

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Bergen Gastroenterology PCCCN 31C0001035

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Bergen Gastroenterlogy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bergen Gastroenterology P C

  dba Bergen Gastroenterology P.C. - Emerson

  • Non-Pharmacy Dispensing Site
  • Emerson, NJ
  • NPI 1801233176
  NPD tax ID
• Bergen Gastroenterology PC

  dba Bergen Gastroenterology Paramus Office

  • Non-Pharmacy Dispensing Site
  • Paramus, NJ
  • NPI 1659799328
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Rockland and Bergen Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Montvale, NJ
  • NPI 1942594148

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Joseph S Fleischer, MD

  • Internal Medicine Physician
  • Emerson, NJ
  • NPI 1386670206
  NPD
• Irwin R Rosenberg, MD

  • Gastroenterology Physician
  • Emerson, NJ
  • NPI 1427084383
  NPD

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1447457403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "SUITE 1",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301396",
            "telephone_number": "201-967-8221",
            "fax_number": "201-634-9647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "466 OLD HOOK RD",
            "address_2": "SUITE 1",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301396",
            "telephone_number": "201-967-8221",
            "fax_number": "201-634-9647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN GASTROENTEROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "201-967-2455",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NJ",
            "license": "308228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyse R Bellomo, MD
• Ari Ben-Yishay, MD
• Bergen Ambulatory Anesthesia
• Bergen County Family Chiropractic (Bergen Physical Therapy & Spinal Rehab)
• Bergen Gastroenterology P C (Bergen Gastroenterology P.C. - Emerson)
• Bergen Gastroenterology PC
• Bergen Women OB GYN Assoc
• Nalini Bethala, MD
• Vivian K Bethala, MD
• Bhavik Mukesh Bhandari, M.D.

• Ambulatory Surgical Clinic/Center in Emerson, NJ
• Providers in Emerson, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.