NPIMap

Organization Active NPI

Bergen County Improvement Authority

Doing business as Bergen New Bridge Medical Center

  • Psychiatric Hospital Unit
  • Paramus, NJ
National Provider Identifier
1770626236
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
10201 Issued in NJ
Legal business name
BERGEN COUNTY IMPROVEMENT AUTHORITY
Doing business as
Bergen New Bridge Medical Center
Practice address
230 E Ridgewood Ave
Paramus, NJ 07652-4142
Phone
(201) 967-4000
Fax
(201) 225-7101
NPI assigned
Feb 15, 2007
Last updated
Dec 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Mauro Raguseo
Title
Executive Director of Bcia
Phone
(201) 336-6350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 10201 NJ Primary

Addresses

Primary practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Mailing address

230 E Ridgewood Ave BLDG 10
Paramus, NJ 07652-4142
Phone (201) 967-4001

Other identifiers 1

IdentifierTypeStateIssuer
4142209MedicaidNJ

Other names 1

  • Bergen New Bridge Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bergen County Improveme11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 E Ridgewood Ave
Bldg 10
Paramus, NJ 07652
Phone (201) 967-9020

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1770626236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE BLDG 10",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4001",
            "fax_number": "201-225-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E RIDGEWOOD AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524142",
            "telephone_number": "201-967-4000",
            "fax_number": "201-225-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN COUNTY IMPROVEMENT AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "RAGUSEO",
        "authorized_official_first_name": "MAURO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF BCIA",
        "authorized_official_telephone_number": "201-336-6350"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NJ",
            "license": "10201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4142209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen New Bridge Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2019; 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.