Organization Active NPI

Bergen Pain & Injury Center

  • Multi-Specialty Clinic/Center
  • Hackensack, NJ
National Provider Identifier
1447978986
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BERGEN PAIN & INJURY CENTER
Practice address
214 State St Ste 102
Hackensack, NJ 07601-5521
Phone
(973) 512-2100
Fax
(973) 512-2150
NPI assigned
Aug 19, 2022
Last updated
Aug 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Dr. Jorge De la Torre Jr., DC
Title
Owner
Phone
(973) 512-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

214 State St Ste 102
Hackensack, NJ 07601-5521

Mailing address

54 Lewis PL
Totowa, NJ 07512-2648
Phone (973) 512-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL njinjurycenter.org Direct

National Provider Directory

National Provider Directory

Locations

214 State St
Ste 102
Hackensack, NJ 07601
Phone (973) 512-2100

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1447978986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 LEWIS PL",
            "city": "TOTOWA",
            "state": "NJ",
            "postal_code": "075122648",
            "telephone_number": "973-512-2100",
            "fax_number": "973-512-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 STATE ST STE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015521",
            "telephone_number": "973-512-2100",
            "fax_number": "973-512-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PAIN & INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "DE LA TORRE",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-512-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "njinjurycenter.org",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "wesbite",
            "address_1": "214 State St Ste 102",
            "city": "Hackensack",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076015521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.