Medical Group of Bergen PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA08285000 Issued in NJ

Legal business name

MEDICAL GROUP OF BERGEN PC

Practice address

230 E Ridgewood Ave
BLDG 6, Second Floor
Paramus, NJ 07652-4142

Phone

(201) 225-4700

Fax

(201) 225-4702

NPI assigned

Jan 18, 2011

Organization subpart

No

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

Authorized official

Name

Anna Harutyunyan, MDNPI 1467610014

Title

MD/Owner

Phone

(201) 225-4700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Anna Harutyunyan, MD

  • Internal Medicine Physician
  • Paramus, NJ
  • NPI 1467610014
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1467757708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WOODCREST DR",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076777628",
            "telephone_number": "201-362-3978",
            "fax_number": "201-458-9933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "address_2": "BLDG 6, SECOND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-225-4700",
            "fax_number": "201-225-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF BERGEN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "HARUTYUNYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "201-225-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA08285000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206512",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert P McLaughlin, LSW
• Lori A McLean, MT
• MD Care Now PA
• Joseph Meany, MSW, LCSW, CPRP
• Sara Mechlin, M.S. OTR/L
• Medical Multi Imaging,P.C.
• Medical Rehabilitation, PC
• Medical Supplies and Services
• Edith T Meier, A.P.N.
• Veronica Melamud, OD

• Internal Medicine Physician in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.