Bergen Dermatology Specialists Pa

LBN: Bergen Dermatology Specialists Pa
Bergen Dermatology Specialists Pa is an health care organization with primary practice located at 400 Route 17 South , Ridgewood NJ 07450. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Bergen Dermatology Specialists Pa can be contacted via phone (415) 802-1310, or through Satra, Karin H. via phone (415) 802-1310.

Contact Information

Primary practice address
400 Route 17 South Ridgewood NJ 07450
Phone: (415) 802-1310
Fax: (201) 652-4906
Website:
Map and Directions
Authorized official contact:
Name: Satra, Karin H. Doctor of Medicine (MD)
Phone: (415) 802-1310

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1598860280
LBN Legal business name Bergen Dermatology Specialists Pa
DBA Doing business as
Authorized official Satra, Karin H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 15th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598860280 NPPES
New Jersey MEDICAID 2619903

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