Bergen Inst of Intnl Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BERGEN INST OF INTNL MEDICINE PA

Doing business as

Bergen Inst of Intnl Medicine PA

Practice address

316 Knickerbocker Rd
Dumont, NJ 07628

Phone

(201) 385-6161

Fax

(201) 501-8365

NPI assigned

Jul 27, 2006

Last updated

Dec 20, 2010By 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

Dr. Alan Roy BaskinNPI 1730122953

Title

Partner

Phone

(201) 385-6111

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Bergen Inst of Intnl Medicine PA Doing business as

Practitioners 3

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.

• Alan Roy Baskin, MD

  • Internal Medicine Physician
  • Dumont, NJ
  • NPI 1730122953
  Authorized official Same address or phone
• Jeffrey Martin Mitchel, M.D.

  • Cardiovascular Disease Physician
  • Englewood, NJ
  • NPI 1033126735
  NPD
• Alex R Pavon, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1700819208
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1609890136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 KNICKERBOCKER RD",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "07628",
            "telephone_number": "201-385-6161",
            "fax_number": "201-501-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 KNICKERBOCKER RD",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "07628",
            "telephone_number": "201-385-6161",
            "fax_number": "201-501-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN INST OF INTNL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "BASKIN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "201-385-6111",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL7785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Inst of Intnl Medicine PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bancroft, a New Jersey Nonprofit Corporation
• Stephanie A. Barnes, M.D.
• Alan Roy Baskin, MD
• Eillen Segovia Baylon
• Bergen County Chiropractic Center (Spinal Rehabilitation and Wellness Center)
• Jacqueline Ann Best, MA, LMFT
• Bethesda Lutheran
• Briana Bortnick
• Breaking Barriers Services, LLC
• Gina Flores Cabela, M.D.

• Internal Medicine Physician in Dumont, NJ
• Providers in Dumont, 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 Dec 20, 2010; 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.