BERGEN MEDICAL SPORTS & SPINE, INC. (NPI# 1962722595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962722595 |
| Entity Type | Organization |
| Organization Name | BERGEN MEDICAL SPORTS & SPINE, INC. |
| Practice Address |
1 Sears Dr Third Floor Paramus NJ 07652-3515 |
| Mailing Address |
131 Craig Rd Hillsdale NJ 07642-1054 |
| Practice Telephone | 2012615220 |
| Practice Fax Number | 2012615223 |
| Mailing Telephone | 2018880021 |
| Mailing Fax Number | 2017223560 |
| Enumeration Date | 2010-06-05 |
| Last Update Date | 2010-06-05 |
| Authorized Official Name | DR. GARY STEVEN HERRING (PRESIDENT) |
| Authorized Official Telephone | 2018880021 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
MA55527 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 SEARS DR THIRD FLOOR |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-3515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326036898 | Radu Kramer | Internal Medicine | 1 Sears Dr, 3rd Floor, Paramus, NJ 07652-3510 | 2005-10-10 |
| 1093192890 | Elizabeth Heydt | Nurse Practitioner | 1 Sears Dr, Paramus, NJ 07652-3515 | 2015-04-30 |
| 1588905947 | Red Oak Centers, LLC | Clinic/Center | 1 Sears Dr, Unit # 405, Paramus, NJ 07652-3515 | 2013-03-11 |
| 1891035788 | Thermowellness | Chiropractor | 1 Sears Dr, 4th Floor Aim Center, Paramus, NJ 07652-3515 | 2013-02-28 |
| 1770836876 | Universal Hearing LLC | Hearing Aid Equipment | 1 Sears Dr, Paramus, NJ 07652-3515 | 2012-10-26 |
| 1366735821 | Integrative Recovery & Wellness Clinic | Clinic/Center | 1 Sears Dr, 4th. Floor, Paramus, NJ 07652-3515 | 2011-05-17 |
| 1992020994 | Das Medical Associates PC | Internal Medicine | 1 Sears Dr, 2nd Floor, Paramus, NJ 07652-3515 | 2010-04-01 |
| 1639310469 | Urmi Das Md LLC | Internal Medicine | 1 Sears Dr, Paramus, NJ 07652-3515 | 2009-03-06 |
| 1689858763 | Bergen Medical Associates, P.C. | Internal Medicine | 1 Sears Dr, Third Floor, Paramus, NJ 07652-3515 | 2007-12-25 |
| 1518154657 | The Robert Zubowski Md Center | Specialist | 1 Sears Dr, Paramus, NJ 07652-3515 | 2007-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270095 | Matthew Parisi | Family Medicine | 186 County Road 520 Ste 3, Morganville, NJ 07751-1246 | 2015-07-17 |
| 1679991145 | Jason Anthony Krystofiak | Family Medicine | 200 S Orange Ave Ste 118, Livingston, NJ 07039-5817 | 2014-04-02 |
| 1629419163 | Sports Management Institute LLC | Family Medicine | 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 | 2013-07-12 |
| 1134564768 | Christopher Chong | Family Medicine | 1 Brace Rd Ste B5, Cherry Hill, NJ 08034-2600 | 2013-05-09 |
| 1700221561 | Elad Tennen | Family Medicine | 2315 Highway 34 Ste D, Manasquan, NJ 08736-1444 | 2013-05-07 |
| 1154642486 | Melissa Mascaro | Family Medicine | 1 Bay Ave Fl 3, Montclair, NJ 07042-4837 | 2010-06-22 |
| 1649430109 | Bryan Richard Barrett | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2008-06-09 |
| 1477723245 | Lourdes Medical Associates, Pa | Family Medicine | 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 | 2008-03-07 |
| 1437332749 | New Jersey Sports Medicine and Performance Center LLC | Family Medicine | 689 Valley Rd Ste 104, Gillette, NJ 07933-1906 | 2007-12-10 |
| 1801010723 | Thomas W Plut | Family Medicine | 728 Marne Hwy Ste 100c-3, Moorestown, NJ 08057-3128 | 2007-04-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.