OrganizationActive
Bergen Spine Associates Professional Corporation
NPI 1477972859 · Hospitalist Physician · Secaucus, NJ
Provider details
- NPI number
- 1477972859
- Entity type
- Organization
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Roman Kosiborod, Owner/President(201) 982-4706
- License
- 25 MB07566200 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Phone: (201) 982-4706
Street-level locationGet directions
Mailing address
55 Meadowlands Pkwy
Secaucus, NJ 07094-2977
Registry dates
- Enumerated
- 2014-04-14
- Last updated
- 2014-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.