Bergen Kidney Center

LBN: Bergen Kidney Center
Bergen Kidney Center is an health care organization with primary practice located at 300 Grand Avenue Suite 101, Englewood NJ 07631-6581. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Bergen Kidney Center can be contacted via phone (201) 567-5787, or through Phipps, Charisse via phone (630) 974-5236.

Contact Information

Primary practice address
300 Grand Avenue Suite 101 Englewood NJ 07631-6581
Phone: (201) 567-5787
Fax: (201) 567-7652
Website:
Map and Directions
Authorized official contact:
Name: Phipps, Charisse
Phone: (630) 974-5236

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA057981 New Jersey

Profile Details

NPI number 1679770952
LBN Legal business name Bergen Kidney Center
DBA Doing business as
Authorized official Phipps, Charisse
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2007
Last updated Apr 28th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679770952 NPPES
New Jersey MEDICAID 6097201

Popular Providers