OrganizationActive
Bergen Passaic Pediatric Neurology
NPI 1417009077 · Neurology with Special Qualifications in Child Neurology Physician · Glen Rock, NJ
Provider details
- NPI number
- 1417009077
- Entity type
- Organization
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Judy Woo, Member(201) 796-9500
- License
- 25MA05494400 (NJ)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 25MA05494400 (NJ)
Allopathic & Osteopathic Physicians
Practice location
66 Glen Ave
Glen Rock, NJ 07452-2132
Phone: (201) 796-9500
Fax: (201) 796-9509
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 919
Glen Rock, NJ 07452-0919
Registry dates
- Enumerated
- 2007-01-16
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.