OrganizationActive
Bergen Spine Associates
NPI 1124470786 · Primary Care Clinic/Center · Hackensack, NJ
Provider details
- NPI number
- 1124470786
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Roman Kosiborod, Medical Director
- License
- 25MB07566200 (NJ)
Practice location
50 Clinton Pl Ste 6
Hackensack, NJ 07601-4580
Phone: (201) 880-6204
Fax: (201) 880-6206
Mailing address
50 Clinton Pl Ste 6
Hackensack, NJ 07601-4580
Registry dates
- Enumerated
- 2016-07-07
- Last updated
- 2016-07-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.