NPIMap

Organization Active NPI

Bergen County Improvement Authority

Doing business as Bergen New Bridge Medical Center

  • General Acute Care Hospital
  • Paramus, NJ
National Provider Identifier
1689682999
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
10201 Issued in NJ
Legal business name
BERGEN COUNTY IMPROVEMENT AUTHORITY
Doing business as
Bergen New Bridge Medical Center
Practice address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone
(201) 967-4000
Fax
(201) 225-7101
NPI assigned
Aug 3, 2006
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mauro Raguseo
Title
Executive Director of Bcia
Phone
(201) 336-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 10201 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

230 E Ridgewood Ave BLDG 10
Paramus, NJ 07652-4142
Phone (201) 967-4001

Other identifiers 1

IdentifierTypeStateIssuer
4139003MedicaidNJ

Other names 1

  • Bergen New Bridge Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060825000462 NJ Part A Provider - Hospital 9032104047 Practice locations: Paramus, NJ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689682999. Details of each certification follow.

Hospital certification: CCN 310058

Legal name
BERGEN COUNTY IMPROVEMENT AUTHORITY
Doing business as
BERGEN NEW BRIDGE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 2023
Beds
496
Ownership / control type
Private (not for profit)
Organization structure
GovernmentNon-profit
Enrollment address
230 E Ridgewood Ave
Paramus, NJ 76524142
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Bergen New Bridge Medical CenterCCN 310058 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Bergen Regional Med11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Care Pus Bergen, Inc Organization, Paramus, NJ Management services company Operational/Managerial Control Oct 1, 2017
Deborah Visconi Individual Contracted Managing EmployeePresident/Ceo Care Plus Bergen Oct 1, 2017
Corporate OfficerPresident/Ceo Care Plus Bergen Oct 1, 2017
W-2 Managing EmployeePresident/Ceo Care Plus Bergen Oct 1, 2017
Operational/Managerial ControlPresident/Ceo Care Plus Bergen Oct 1, 2017
Ralph Iadarola Individual Contracted Managing EmployeeCfo Care Plus Bergen Jul 1, 2020
Corporate OfficerCfo Care Plus Bergen Jul 1, 2020
W-2 Managing EmployeeCfo Care Plus Bergen Jul 1, 2020
Operational/Managerial ControlCfo Care Plus Bergen Jul 1, 2020
Mauro Raguseo Individual Contracted Managing EmployeeExecutive Director of Bcia Feb 1, 2015
Corporate OfficerExecutive Director of Bcia Feb 1, 2015
W-2 Managing EmployeeExecutive Director of Bcia Feb 1, 2015
Operational/Managerial ControlExecutive Director of Bcia Feb 1, 2015
Elena Picinic Individual Contracted Managing EmployeeDirector of Reimbursement Mar 29, 2021
Corporate DirectorDirector of Reimbursement Mar 29, 2021
W-2 Managing EmployeeDirector of Reimbursement Mar 29, 2021
Operational/Managerial ControlDirector of Reimbursement Mar 29, 2021
Sandra Weiss Individual Contracted Managing EmployeeAvp Finance Care Plus Bergen Sep 1, 2020
Corporate OfficerAvp Finance Care Plus Bergen Sep 1, 2020
W-2 Managing EmployeeAvp Finance Care Plus Bergen Sep 1, 2020
Operational/Managerial ControlAvp Finance Care Plus Bergen Sep 1, 2020
Karina Lemond Individual Contracted Managing EmployeeExecutive Director of Revenue Cycle Mar 22, 2021
Corporate OfficerExecutive Director of Revenue Cycle Mar 22, 2021
W-2 Managing EmployeeExecutive Director of Revenue Cycle Mar 22, 2021
Operational/Managerial ControlExecutive Director of Revenue Cycle Mar 22, 2021
Kathryn Richardson Individual Contracted Managing EmployeeSVP Operation Care Plus Bergen Oct 1, 2017
Corporate OfficerSVP Operation Care Plus Bergen Oct 1, 2017
W-2 Managing EmployeeSVP Operation Care Plus Bergen Oct 1, 2017
Operational/Managerial ControlSVP Operation Care Plus Bergen Oct 1, 2017
Bergen County Improvement Authority Organization, Paramus, NJ Non-profit Operational/Managerial Control Oct 1, 2017

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bergen New Bridge Medical CenterParamus, NJ, CCN 31S058 Hospital Operational/Managerial Control Oct 1, 2017
Bergen New Bridge Medicial CenterParamus, NJ, CCN 315017 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Oct 1, 2017
Dec 27, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 69

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 69

Affiliated clinicians 148

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1689682999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE BLDG 10",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4001",
            "fax_number": "201-225-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4000",
            "fax_number": "201-225-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COUNTY IMPROVEMENT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "RAGUSEO",
        "authorized_official_first_name": "MAURO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF BCIA",
        "authorized_official_telephone_number": "201-336-6350"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": "10201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4139003",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen New Bridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.