| Bergen Medical | |
|
180 Engle St Englewood NJ 07631-2507 | |
| (201) 567-2050 | |
| (201) 567-5070 |
| Full Name | Bergen Medical |
|---|---|
| Speciality | Internal Medicine |
| Location | 180 Engle St, Englewood, New Jersey |
| Authorized Official Name and Position | John Masiello (COO) |
| Authorized Official Contact | 2015672050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen Medical 180 Engle St Englewood NJ 07631-2507 Ph: (201) 567-2050 | Bergen Medical 180 Engle St Englewood NJ 07631-2507 Ph: (201) 567-2050 |
| NPI Number | 1669495099 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 05/04/2011 |
| Medicare PECOS PAC ID | 2567411168 |
|---|---|
| Medicare Enrollment ID | O20050121000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669495099 | NPI | - | NPPES |
| Provider Name | Nandita Joshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619991866 PECOS PAC ID: 5395795231 Enrollment ID: I20050127000799 |
| Provider Name | Clifford Simon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487668299 PECOS PAC ID: 3870697261 Enrollment ID: I20100622000047 |
| Provider Name | Robert Malovany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255355400 PECOS PAC ID: 6507960994 Enrollment ID: I20100622000147 |
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