Organization · NPI-2

Bergen County Improvement Authority

Internal Medicine · Paramus, NJ

NPI number1891836441
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1891836441
Entity type
Organization (NPI-2)
Legal business name
Bergen County Improvement Authority
Organization subpart
No
Enumeration date
Feb 8, 2007
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Other names

  • Bergen New Bridge Medical Center Medical Provider Group (Doing Business As)

Practice location

230 E Ridgewood Ave
Paramus, NJ 07652-4142

Phone 201-967-4000

Mailing address

230 E Ridgewood Ave Bldg 10
Paramus, NJ 07652-4142

Phone 201-967-4001 · Fax 201-225-7101

Authorized official

Mauro Raguseo
Executive Director Of Bcia
2013356350

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Internal Medicine providers in Paramus, NJ