| Bergen Internal Medicine Llc | |
|
6 Horizon Rd Fort Lee NJ 07024-6652 | |
| (201) 886-8989 | |
| (201) 886-8990 |
| Full Name | Bergen Internal Medicine Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6 Horizon Rd, Fort Lee, New Jersey |
| Authorized Official Name and Position | Richard Justin Gallo (PRESIDENT) |
| Authorized Official Contact | 2018868989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Internal Medicine Llc 6 Horizon Rd Fort Lee NJ 07024-6652 Ph: (201) 886-8989 | Bergen Internal Medicine Llc 6 Horizon Rd Fort Lee NJ 07024-6652 Ph: (201) 886-8989 |
| NPI Number | 1336373539 |
|---|---|
| Provider Enumeration Date | 05/04/2009 |
| Last Update Date | 10/17/2014 |
| Medicare PECOS PAC ID | 9638225246 |
|---|---|
| Medicare Enrollment ID | O20090923000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336373539 | NPI | - | NPPES |
| 4992806 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MA54263 (New Jersey) | Primary |
| Provider Name | Richard J Gallo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144306317 PECOS PAC ID: 5799720322 Enrollment ID: I20050624000020 |
| Provider Name | Michael D Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700830098 PECOS PAC ID: 5294752663 Enrollment ID: I20051026000267 |
Ahmed M Fahmy Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Anderson Ave, Fort Lee, NJ 07024 Phone: 201-224-5252 Fax: 201-224-6671 | |
Smart Care Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1640 Schlosser St, Suite C-3, Fort Lee, NJ 07024 Phone: 201-446-6701 | |
18-medical Partners Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Myrtle Ave, Fort Lee, NJ 07024 Phone: 201-336-0095 Fax: 973-201-0441 | |
Golden Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Lemoine Ave, Suite #301, Fort Lee, NJ 07024 Phone: 201-363-0233 Fax: 201-363-0244 | |
Doctors Diagnostic Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bridge Plz N, Suite 275, Fort Lee, NJ 07024 Phone: 201-724-5367 | |
Lemoine Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Lemoine Ave, Suite #301, Fort Lee, NJ 07024 Phone: 201-363-0233 | |
Ziphycare Medical Of New Jersey Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Bridge Plz N Ste 810, Fort Lee, NJ 07024 Phone: 833-947-4927 |