Bergenline Family Medicine
NPI 1811207475 · Primary Care Clinic/Center · West New York, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bergenline Family Medicine is a Primary Care Clinic/Center organization in West New York, NJ (NPI 1811207475).
Provider details
- NPI number
- 1811207475
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gil Fajardo, Director(201) 453-8777
- License
- MA062055 (NJ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2011-01-04
Frequently asked questions
- What is Bergenline Family Medicine's NPI number?
- Bergenline Family Medicine's National Provider Identifier (NPI) is 1811207475, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bergenline Family Medicine?
- Bergenline Family Medicine is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bergenline Family Medicine located?
- Bergenline Family Medicine's practice location on file with NPPES is 333 60th St, West New York, NJ 07093-5487.
- What is Bergenline Family Medicine's phone number?
- The practice phone number listed in the NPPES registry for Bergenline Family Medicine is (201) 453-8777.
- Does Bergenline Family Medicine accept Medicare?
- Bergenline Family Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bergenline Family Medicine?
- The authorized official listed on Bergenline Family Medicine's NPPES record is Gil Fajardo, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bergenline Family Medicine's NPI active?
- Yes — Bergenline Family Medicine's NPI (1811207475) is active in the NPPES registry as of the last update on 2011-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.