Bergenfield Internal Medicine, L.L.C.
Organization Active NPI Primary Care Clinic/Center · Bergenfield, NJ
NPI 1720105828 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1720105828
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- MA43770 (NJ)
- Legal business name
- BERGENFIELD INTERNAL MEDICINE, L.L.C.
- Practice address
- 161- A North Washington Ave.
Bergenfield, NJ 07646-1739 - Phone
- (201) 387-6900
- Fax
- (201) 387-1650
- NPI assigned
- Mar 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Michael A Degennaro, M.D.
- Title
- Owner
- Phone
- (201) 387-6900
National Provider Directory
Locations
161 N Washington Ave
Ste A
Bergenfield, NJ 07621
Phone (201) 387-6900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MA43770 | NJ | Yes |
Addresses
Primary practice location
161- A North Washington Ave.
Bergenfield, NJ 07646-1739
Mailing address
161- A North Washington Ave.
Bergenfield, NJ 07646-1739
Phone (201) 387-6900
Other names
- Michael A. DeGennaro, M.D.
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.