OrganizationActive
Bergen Gastroenterology PC
NPI 1659799328 · Non-Pharmacy Dispensing Site · Paramus, NJ
Provider details
- NPI number
- 1659799328
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 964-1506
- License
- 25MA06565600 (NJ)
Specialties & taxonomies
Suppliers
Practice location
1 W Ridgewood Ave
Suite 301
Paramus, NJ 07652-2359
Phone: (201) 445-1660
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- Bergen Gastroenterology Paramus Office
Registry dates
- Enumerated
- 2014-03-31
- Last updated
- 2014-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.