Bergen Dermatology Specialists PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BERGEN DERMATOLOGY SPECIALISTS PA

Practice address

400 Route 17 South
Ridgewood, NJ 07450

Phone

(201) 652-4536

Fax

(201) 652-4906

NPI assigned

Sep 14, 2006

Last updated

Feb 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kapila Paghdal, MDNPI 1578724571

Title

President

Phone

(201) 652-4536

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 13

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.

• Kapila V Paghdal, MD

  • Procedural Dermatology Physician
  • Ridgewood, NJ
  • NPI 1578724571
  Medicare reassignment Care Compare group NPD Authorized official
• David Hermogenes Ciocon, M.D.

  • MOHS-Micrographic Surgery Physician
  • Hackensack, NJ
  • NPI 1790878866

  Dermatology

  Medicare reassignment Care Compare group NPD
• Margaret Fonder, MD

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1962689133
  Medicare reassignment Care Compare group NPD
• Karin H Satra, MD

  • Dermatology Physician
  • Ridgewood, NJ
  • NPI 1619072303
  Medicare reassignment Care Compare group NPD
• Xuan Wang, M.D. PH.D.

  • Anatomic Pathology Physician
  • Woodbury, NY
  • NPI 1578706032

  NJ

  Medicare reassignment Care Compare group NPD
• Ami Dalal, PA-C

  • Surgical Physician Assistant
  • New York, NY
  • NPI 1598948184

  NJ

  Medicare reassignment Care Compare group
• Amy Stevens, MD

  • Dermatology Physician
  • Oakland, NJ
  • NPI 1578609541
  Medicare reassignment NPD
• Swapna C Reddy, M.D.

  • Dermatology Physician
  • Gilroy, CA
  • NPI 1467754200

  NJ

  Medicare reassignment NPD
• Yostina Farid, MD

  • Dermatology Physician
  • Norwood, MA
  • NPI 1336778422

  NJ

  Medicare reassignment
• Louis Burdman, PH.D

  • Psychologist
  • Oakland, NJ
  • NPI 1962577460
  NPD (past)
• Martin S Jacobs, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Oakland, NJ
  • NPI 1720198849
  NPD (past)
• Michael Howard Kirsch, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Caldwell, NJ
  • NPI 1518925338
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1598860280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17 SOUTH",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROUTE 17 SOUTH",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "07450",
            "telephone_number": "201-652-4536",
            "fax_number": "201-652-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN DERMATOLOGY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "PAGHDAL",
        "authorized_official_first_name": "KAPILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-652-4536",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2619903",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth L Benjamin, M.D.
• Andrew Shaw Benotakeia, MD
• Lynn Benson, MSW
• Eric Y. Bentolila, MD
• Bergen Anesthesia Group, P.C.
• Bergen Psychiatric Care LLC
• Bergen Spine and Sport, LLC
• Bergen Valley Acupuncture
• Flora L Bernard, LCSW
• Joshua William Bernheim, M.D.

• Dermatology Physician in Ridgewood, NJ
• Providers in Ridgewood, NJ by specialty
• Dermatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.