Organization Active NPI

Bergen Hudson ENT LLC

  • Otolaryngology Physician
  • Jersey City, NJ
National Provider Identifier
1912039710
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
BERGEN HUDSON ENT LLC
Practice address
142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133
Phone
(201) 659-4706
Fax
(201) 659-4707
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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

Authorized official

Name
Dr. Babak Behin, MDNPI 1205931466
Title
Physician
Phone
(201) 659-4706

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
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133

Mailing address

142 Palisade Ave
Suite # 207
Jersey City, NJ 07306-1133
Phone (201) 659-4706

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050525000951 NJ Part B Supplier - Clinic/Group Practice 6305888777 Receives reassigned benefits from 1 practitioner
Practice locations: Jersey City, NJ

National Provider Directory

National Provider Directory

Locations

408 38TH St Ste 404
Union City, NJ 07087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525824000000",
    "number": "1912039710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE # 207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-659-4706",
            "fax_number": "201-659-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 PALISADE AVE",
            "address_2": "SUITE # 207",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073061133",
            "telephone_number": "201-659-4706",
            "fax_number": "201-659-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN HUDSON ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-05-09",
        "status": "A",
        "authorized_official_last_name": "BEHIN",
        "authorized_official_first_name": "BABAK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-659-4706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.