Bergen Internal Medicine Llc

LBN: Bergen Internal Medicine Llc
Bergen Internal Medicine Llc is an health care organization with primary practice located at 6 Horizon Rd , Fort Lee NJ 07024-6652. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bergen Internal Medicine Llc can be contacted via phone (201) 886-8989, or through Gallo, Richard Justin via phone (201) 886-8989.

Contact Information

Primary practice address
6 Horizon Rd Fort Lee NJ 07024-6652
Phone: (201) 886-8989
Fax: (201) 886-8990
Website:
Map and Directions
Authorized official contact:
Name: Gallo, Richard Justin Doctor of Medicine (MD)
Phone: (201) 886-8989

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MA54263 New Jersey

Profile Details

NPI number 1336373539
LBN Legal business name Bergen Internal Medicine Llc
DBA Doing business as
Authorized official Gallo, Richard Justin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2009
Last updated Oct 17th, 2014 - about 10 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 1336373539 NPPES
New Jersey MEDICAID 4992806

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