Organization Active NPI

Bergen Medical Associates, P.C.

  • Family Medicine Physician
  • Paramus, NJ
National Provider Identifier
1689858763
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERGEN MEDICAL ASSOCIATES, P.C.
Practice address
1 Sears Dr
Third Floor
Paramus, NJ 07652-3515
Phone
(201) 261-6061
NPI assigned
Dec 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Authorized official

Name
Dr. Gary Herring, MD
Title
President
Phone
(201) 888-0021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1 Sears Dr
Third Floor
Paramus, NJ 07652-3515

Mailing address

1 Sears Dr
Third Floor
Paramus, NJ 07652-3515
Phone (201) 261-6061

National Provider Directory

National Provider Directory

Locations

1 Sears Dr
Fl Third
Paramus, NJ 07652
Phone (201) 261-5220

NPI Registry JSON

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

{
    "created_epoch": "1198540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1689858763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "THIRD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-261-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SEARS DR",
            "address_2": "THIRD FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523515",
            "telephone_number": "201-261-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN MEDICAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-25",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-888-0021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.