Active NPI
Bergenline Spine and Healthcare Center PC
- Internal Medicine Physician
- West New York, NJ
National Provider Identifier
1699048322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BERGENLINE SPINE AND HEALTHCARE CENTER PC
- Practice address
- 6000 Kennedy Blvd W
West New York, NJ 07093-1414 - Phone
- (201) 758-0099
- Fax
- (201) 758-2992
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Peter Wohl, D.C.
- Title
- Manager
- Phone
- (201) 758-0099
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | 25MZ00059400 | NJ | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Orthopaedic Surgery Physician | 207X00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Interventional Pain Medicine Physician | 208VP0014X | |||
| Physical Therapist | 225100000X | 40QA00729000 | NJ |
Addresses
Primary practice location
6000 Kennedy Blvd W
West New York, NJ 07093-1414
Mailing address
PO Box 5262
West New York, NJ 07093-9262
Phone (201) 758-0099
National Provider Directory
National Provider DirectoryLocations
6000 Kennedy Blvd W
#F
West New York, NJ 07093
Phone (201) 758-0099
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- West New York, NJ
- NPI 1598374050
-
- Physical Therapist
- North Las Vegas, NV
- NPI 1235745225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369353600000",
"number": "1699048322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5262",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070939262",
"telephone_number": "201-758-0099",
"fax_number": "201-758-2992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 KENNEDY BLVD W",
"city": "WEST NEW YORK",
"state": "NJ",
"postal_code": "070931414",
"telephone_number": "201-758-0099",
"fax_number": "201-758-2992"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BERGENLINE SPINE AND HEALTHCARE CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-10",
"last_updated": "2013-05-24",
"status": "A",
"authorized_official_last_name": "WOHL",
"authorized_official_first_name": "PETER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "201-758-0099",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": "NJ",
"license": "25MZ00059400",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00729000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West New York, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.