OrganizationActive
Bergenline Family Medicine
NPI 1811207475 · Primary Care Clinic/Center · West New York, NJ
Provider details
- NPI number
- 1811207475
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Gil Fajardo, Director
- License
- MA062055 (NJ)
Practice location
333 60th St
West New York, NJ 07093-5487
Phone: (201) 453-8777
Fax: (201) 453-8804
Mailing address
333 60th St
West New York, NJ 07093-5487
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 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.