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Contact Information

BERGEN PEDIATRIC THERAPY CENTER
354 OLD HOOK RD
SUITE 104
WESTWOOD, NJ07675-3246
 Phone: 201-722-4700
 Fax: 201-722-4751
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BERGEN PEDIATRIC THERAPY CENTER

NPI # 1205060589
LBN Legal business name BERGEN PEDIATRIC THERAPY CENTER
Authorized official VICTOR WANG - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/14/2009
Last updated 05/14/2009 - About 17 years ago
Identifiers
NJ License # 41YS00541700
NJ License # 46TA09005200
NJ License # 46TR00016700
NJ License # 46TR00035200
NJ License # 46TR00322900
NJ License # 46TR00474300
NJ License # 46TR00480300
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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