NPIMap

Organization Active NPI

One Bergen Health PC

  • Internal Medicine Physician
  • Bergenfield, NJ
National Provider Identifier
1508753492
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ONE BERGEN HEALTH PC
Practice address
136 N Washington Ave Ste 203
Bergenfield, NJ 07621-1776
Phone
(551) 502-5377
NPI assigned
Jun 23, 2025
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
BERGEN COUNTY IMPROVEMENT AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Christopher Awwad, DONPI 1679917249
Title
Owner
Phone
(662) 665-1359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

136 N Washington Ave Ste 203
Bergenfield, NJ 07621-1776

Mailing address

230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone (201) 967-4000

Other practice location 1

375 Paterson Ave
Wallington, NJ 07057-2100
Phone (551) 276-5864

Other practice location 2

250 River Rd
New Milford, NJ 07646-1719
Phone (201) 967-4233

Other practice location 3

680 Broadway Ste 506
Paterson, NJ 07514-1530
Phone (201) 977-2629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250916003034 NJ Part B Supplier - Clinic/Group Practice 2062916810 Receives reassigned benefits from 22 practitioners
Practice locations: Bergenfield, NJ; Wallington, NJ; Paterson, NJ; New Milford, NJ

National Provider Directory

National Provider Directory
Part of
Berg Cty Imp a Radiolog

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1508753492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N WASHINGTON AVE STE 203",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211776",
            "telephone_number": "551-502-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "375 Paterson Ave",
            "address_purpose": "LOCATION",
            "city": "Wallington",
            "state": "NJ",
            "postal_code": "070572100",
            "country_code": "US",
            "telephone_number": "551-276-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 River Rd",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "NJ",
            "postal_code": "076461719",
            "country_code": "US",
            "telephone_number": "201-967-4233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "680 Broadway Ste 506",
            "address_purpose": "LOCATION",
            "city": "Paterson",
            "state": "NJ",
            "postal_code": "075141530",
            "country_code": "US",
            "telephone_number": "201-977-2629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONE BERGEN HEALTH PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BERGEN COUNTY IMPROVEMENT AUTHORITY",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "AWWAD",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-665-1359",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.