General Surgery of Bergen-Passaic, P.a.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MA41755 Issued in NJ

Legal business name

GENERAL SURGERY OF BERGEN-PASSAIC, P.A.

Practice address

1100 Clifton Ave
Suite 2B
Clifton, NJ 07013-3631

Phone

(973) 778-0100

Fax

(973) 778-2029

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edwin P Kane II, M.D.

Title

Owner

Phone

(973) 778-0100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1477722932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 CLIFTON AVE",
            "address_2": "P.O. BOX 335",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121343",
            "telephone_number": "973-778-0100",
            "fax_number": "973-778-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 CLIFTON AVE",
            "address_2": "SUITE 2B",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070133631",
            "telephone_number": "973-778-0100",
            "fax_number": "973-778-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERAL SURGERY OF BERGEN-PASSAIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-778-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "MA41755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.