Bergen Renal Home PD Center, LLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

BERGEN RENAL HOME PD CENTER, LLC

Practice address

222 Cedar LN Ste 103
Teaneck, NJ 07666-4311

Phone

(201) 692-1379

Fax

(201) 692-7776

NPI assigned

Dec 8, 2010

Organization subpart

Yes

Parent organization

FRESENIUS MEDICAL CARE HOLDINGS, INC.As reported in NPPES

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

Authorized official

Name

Barry L. Blanton

Title

Vice President

Phone

(781) 699-9000

Specialties & licenses 1

Addresses

Other names 1

• BERGEN RENAL HOME PD CENTER Doing business as

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Holy Name Medical Center Inc

  • Home Health Agency
  • Teaneck, NJ
  • NPI 1780760405

  Member Of

  NPD member
• National Medical Care, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bristol, TN
  • NPI 1477570117

  Member Of

  NPD member

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1699078964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664311",
            "telephone_number": "201-692-1379",
            "fax_number": "201-692-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CEDAR LN STE 103",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664311",
            "telephone_number": "201-692-1379",
            "fax_number": "201-692-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN RENAL HOME PD CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRESENIUS MEDICAL CARE HOLDINGS, INC.",
        "enumeration_date": "2010-12-08",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "781-699-9000"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BERGEN RENAL HOME PD CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bergen Perinatal Associates, LLC
• Bergen Periodontics LLC
• Bergen Psychotherapy & Community Outreach, LLC
• Bergen Psychotherapy Practice
• Bergen Renal Care Center, LLC
• Robert L Bergen, MD
• Bess Berger
• Edward H. Berger, PH.D.
• Howard Berman, M.D.
• Jeffrey A Berman, M.D.

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.