Inessa Bard, MD, PA

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

25MA04315900 Issued in NJ

Legal business name

INESSA BARD, MD, PA

Practice address

12 Mill Road Ext
Woodcliff Lake, NJ 07677-8142

Phone

(201) 248-4860

Fax

(201) 930-4922

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Inessa Levin Bard, MD

Title

President

Phone

(201) 248-4860

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1447493754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MILL ROAD EXT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778142",
            "telephone_number": "201-248-4860",
            "fax_number": "201-930-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MILL ROAD EXT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778142",
            "telephone_number": "201-248-4860",
            "fax_number": "201-930-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INESSA BARD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "BARD",
        "authorized_official_first_name": "INESSA",
        "authorized_official_middle_name": "LEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-248-4860",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MA04315900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Geriatric Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.