Bergenfield Internal Medicine, L.L.C.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

MA43770 Issued in NJ

Legal business name

BERGENFIELD INTERNAL MEDICINE, L.L.C.

Doing business as

Michael A. DeGennaro, M.D.

Practice address

161- A North Washington Ave.
Bergenfield, NJ 07646-1739

Phone

(201) 387-6900

Fax

(201) 387-1650

NPI assigned

Mar 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Degennaro, M.D.NPI 1598713786

Title

Owner

Phone

(201) 387-6900

Specialties & licenses 1

Addresses

Other names 1

• Michael A. DeGennaro, M.D. Doing business as

Locations

Practitioners 1

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.

• Michael August Degennaro, M.D.

  • Internal Medicine Physician
  • Bergenfield, NJ
  • NPI 1598713786
  Authorized official Same address or phone

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720105828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161- A NORTH WASHINGTON AVE.",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076461739",
            "telephone_number": "201-387-6900",
            "fax_number": "201-387-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161- A NORTH WASHINGTON AVE.",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076461739",
            "telephone_number": "201-387-6900",
            "fax_number": "201-387-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENFIELD INTERNAL MEDICINE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEGENNARO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-387-6900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "MA43770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael A. DeGennaro, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.