Healthcare Provider Details

I. General information

NPI: 1043131840
Provider Name (Legal Business Name): THE BAGEL NOOK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 VILLAGE CENTER DR
FREEHOLD NJ
07728-2526
US

IV. Provider business mailing address

51 VILLAGE CENTER DR
FREEHOLD NJ
07728-2526
US

V. Phone/Fax

Practice location:
  • Phone: 908-692-9220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: ALEX BERKOWITZ
Title or Position: COO/OWNER
Credential:
Phone: 908-692-9220