NPIMap

Organization Active NPI

North Bergen Health Care, LLC

  • Adult Day Care Clinic/Center
  • North Bergen, NJ
National Provider Identifier
1831517796
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
09004 Issued in NJ
Legal business name
NORTH BERGEN HEALTH CARE, LLC
Practice address
9020 Wall St
10TH Floor
North Bergen, NJ 07047-6011
Phone
(201) 624-2750
Fax
(201) 869-8842
NPI assigned
Mar 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Rich Molfetta
Title
C.F.O.
Phone
(201) 635-1195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 09004 NJ Primary

Addresses

Primary practice location

9020 Wall St
10TH Floor
North Bergen, NJ 07047-6011

Mailing address

9020 Wall St
10TH Floor
North Bergen, NJ 07047-6011
Phone (201) 624-2750

Other identifiers 1

IdentifierTypeStateIssuer
0442275MedicaidNJ

Other names 1

  • Hudson View Adult Medical Day Care Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hudson View Adult Medical Day Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

9020 Wall St
Fl 10
North Bergen, NJ 07047
Phone (201) 624-2750

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1831517796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 WALL ST",
            "address_2": "10TH FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476011",
            "telephone_number": "201-624-2750",
            "fax_number": "201-869-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 WALL ST",
            "address_2": "10TH FLOOR",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070476011",
            "telephone_number": "201-624-2750",
            "fax_number": "201-869-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BERGEN HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "MOLFETTA",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "201-635-1195"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "09004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442275",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hudson View Adult Medical Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.