Bergenfield Surgical Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BERGENFIELD SURGICAL CENTER LLC

Practice address

1 N Washington Ave
Suite a
Bergenfield, NJ 07621-2125

Phone

(201) 374-2829

Fax

(201) 374-2835

NPI assigned

Oct 14, 2014

Last updated

Jul 28, 2015By 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

Wendy Condo, RN, BSN

Title

Administrator

Phone

(201) 374-2829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Listed as

Bergenfield Surgical Center LLCCCN 31C0001314

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Englewood Hospital and Medical Center

  dba Englewood Hospital Psych Unit

  • Psychiatric Hospital Unit
  • Englewood, NJ
  • NPI 1124071980

  Member Of

  NPD member

Practitioners 2

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.

• Isaac Abramchayev, P.A

  • Surgical Physician Assistant
  • Brooklyn, NY
  • NPI 1093730244
  NPD
• Vagmin P Vora, M.D.

  • Orthopaedic Surgery Physician
  • Hummelstown, PA
  • NPI 1679597447
  NPD (past)

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1992109334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-374-2829",
            "fax_number": "201-374-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WASHINGTON AVE",
            "address_2": "SUITE A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076212125",
            "telephone_number": "201-374-2829",
            "fax_number": "201-374-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGENFIELD SURGICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "CONDO",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "201-374-2829",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergenfield Medical Clinic Inc (Dasmd Clinic)
• Bergenfield Oral Surgery Associates LLC
• Bergenfield Orthodontics
• Bergenfield Physical Therapy & Rehab Center LLC (Bergenfield Physical Therapy & Rehab Center)
• Bergenfield Physical Therapy and Rehabilitation, Inc
• Bergenfield Women's Health LLC
• Alisa Besdin Goldberger
• Betances SLP PC
• Alejandro Bevacqua, MD PHYSICIAN
• Beyond Medical Supplies LLC

• Ambulatory Surgical Clinic/Center in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Ambulatory Surgical Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.