Bergen Kidney Center PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MA057981 Issued in NJ

Legal business name

BERGEN KIDNEY CENTER PC

Practice address

300 Grand Avenue
Suite 101
Englewood, NJ 07631-6581

Phone

(201) 567-5787

Fax

(201) 567-7652

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Naomi Cassin

Title

Credentialing Manager

Phone

(331) 216-1156

Specialties & licenses 1

Addresses

Electronic endpoints 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 4

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

• Samuel Aminu Agahiu, MD

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1992967020
  Medicare reassignment Care Compare group NPD
• Emmanuelle Gilles, M.D.

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1033321294
  Medicare reassignment Care Compare group NPD
• Louis C. Jan, M.D.

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1831152966
  Medicare reassignment Care Compare group NPD
• Marc Zelkowitz, M.D.

  • Nephrology Physician
  • Englewood, NJ
  • NPI 1609134576
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1679770952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GRAND AVE STE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316300",
            "telephone_number": "201-567-5787",
            "fax_number": "201-567-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GRAND AVENUE",
            "address_2": "SUITE 101",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-567-5787",
            "fax_number": "201-567-7652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Old Hook Rd Ste 303B",
            "address_purpose": "LOCATION",
            "city": "Westwood",
            "state": "NJ",
            "postal_code": "076753123",
            "country_code": "US",
            "telephone_number": "201-567-5787",
            "fax_number": "201-567-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BERGEN KIDNEY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "CASSIN",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "331-216-1156"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "MA057981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "credentialing@nephdocs.com",
            "address_1": "300 Grand Avenue",
            "address_2": "suite 101",
            "city": "Englewood",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076316581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bergen Anesthesia Group
• Bergen Clinical Labs, Inc.
• Bergen County Gynecology, P.C.
• Bergen Hand Rehabilitation, LLC
• Bergen Imaging Ctr PA
• Bergen Laparoscopy & Bariatrics Associates LLC
• Bergen Medical Alliance PA
• Bergen Neuropsychology Group
• Bergen Pulmonary & Sleep Specialists, L.L.C.
• Bergen Stretch LLC

• Nephrology Physician in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; 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.