NPIMap

Organization Active NPI

Neurology Group of Bergen County PA

  • Neurology Physician
  • Ridgewood, NJ
National Provider Identifier
1881731107
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY GROUP OF BERGEN COUNTY PA
Practice address
1200 East Ridgewood Ave
2ND Floor East Wing
Ridgewood, NJ 07450-3957
Phone
(201) 444-0868
Fax
(201) 493-0797
NPI assigned
Jan 30, 2007
Last updated
Jul 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Dr. Hugo N Lijtmaer, MDNPI 1669433819
Title
Managing Partner President
Phone
(201) 444-0868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

1200 East Ridgewood Ave
2ND Floor East Wing
Ridgewood, NJ 07450-3957

Mailing address

1200 East Ridgewood Ave
2ND Floor East Wing
Ridgewood, NJ 07450-3957
Phone (201) 444-0868

Other identifiers 1

IdentifierTypeStateIssuer
2823403MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040726000097 NJ Part B Supplier - Clinic/Group Practice 5698755056 Receives reassigned benefits from 28 practitioners
Practice locations: Ridgewood, NJ

National Provider Directory

National Provider Directory

Locations

1200 E Ridgewood Ave
Ste 208
Ridgewood, NJ 07450
Phone (201) 444-0631

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25202/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1881731107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EAST RIDGEWOOD AVE",
            "address_2": "2ND FLOOR EAST WING",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EAST RIDGEWOOD AVE",
            "address_2": "2ND FLOOR EAST WING",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503957",
            "telephone_number": "201-444-0868",
            "fax_number": "201-493-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY GROUP OF BERGEN COUNTY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LIJTMAER",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MANAGING PARTNER PRESIDENT",
        "authorized_official_telephone_number": "201-444-0868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2823403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.