North Bergen Pediatrics

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA06599400 Issued in NJ

Legal business name

NORTH BERGEN PEDIATRICS

Practice address

2811 Kennedy Blvd
North Bergen, NJ 07047-2227

Phone

(973) 458-8000

Fax

(973) 458-8425

NPI assigned

Dec 17, 2012

Last updated

Dec 17, 2012By 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. Raul Almanzar, M.D.NPI 1164491585

Title

President

Phone

(973) 458-8000

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Raul Almanzar, MD

  • Pediatrics Physician
  • Passaic, NJ
  • NPI 1164491585
  NPD (past) Authorized official
• Jessica Rosales, PA-C

  • Medical Physician Assistant
  • Passaic, NJ
  • NPI 1871921783
  NPD (past)
• Alison Lopez, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1720486921
  NPD (past)
• Linda Santoro, MS, APRN, FNP-C

  • Family Nurse Practitioner
  • Riverhead, NY
  • NPI 1588374060
  NPD (past)

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355702400000",
    "number": "1942546106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472227",
            "telephone_number": "973-458-8000",
            "fax_number": "973-458-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070472227",
            "telephone_number": "973-458-8000",
            "fax_number": "973-458-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BERGEN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2012-12-17",
        "status": "A",
        "authorized_official_last_name": "ALMANZAR",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-458-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA06599400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Bergen Health Care, Inc. (Hudsonview Care & Rehabilitation Center)
• North Bergen Health Care, LLC (Hudson View Adult Medical Day Care Center)
• North Bergen Healthcare, LLC (Hudsonview Care & Rehabilitation Center)
• North Bergen Hospitalists
• North Bergen Medical Services LLC
• North Bergen Seniors Count LLC
• North Jersey Vein Laser Center,PA
• North Jersey Wellness Center
• Northeast Anesthesia Group, LLC
• Northern NJ Cardiology Assoc

• Specialist in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.