Bergen Pain & Rehab LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

BERGEN PAIN & REHAB LLC

Practice address

120 Charlotte PL Lowr Level
Englewood Cliffs, NJ 07632-2615

Phone

(201) 731-3900

NPI assigned

May 1, 2019

Organization subpart

No

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

Authorized official

Name

Anna Lee, MD

Title

Owner

Phone

(201) 925-0315

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Young H Lee

  • Acupuncturist
  • Cresskill, NJ
  • NPI 1700321122
  NPD (past)

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558915200000",
    "number": "1629633086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 CENTER ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262245",
            "telephone_number": "201-301-5503",
            "fax_number": "201-567-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHARLOTTE PL LOWR LEVEL",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322615",
            "telephone_number": "201-731-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PAIN & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2019-05-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-925-0315",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Basil Christian Investments LLC
• Keith Richard Benoff, PH.D.
• Bergen Dermatology LLC
• Bergen Family Pediatrics, LLC
• Bergen JHP PT PC
• Bergen Pain Clinic LLC
• Bergen Rehabilitation Services Inc.
• Bergen Wellness Center LLC
• Voltaire Vincent Bermudo, PT
• Bryson Christian Berry

• Physical Medicine & Rehabilitation Physician in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2019; 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.