Healthcare Provider Details

I. General information

NPI: 1215093182
Provider Name (Legal Business Name): COUNTY OF BERGEN NJ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2006
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 PIERMONT RD
ROCKLEIGH NJ
07647
US

IV. Provider business mailing address

35 PIERMONT RD
ROCKLEIGH NJ
07647
US

V. Phone/Fax

Practice location:
  • Phone: 201-750-8310
  • Fax: 201-784-3590
Mailing address:
  • Phone: 201-750-8310
  • Fax: 201-784-3590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number314436
License Number StateNJ

VIII. Authorized Official

Name: HARVEY SILBERSTEIN III
Title or Position: ADMINISTRATOR
Credential: LICENSED NURSING HOM
Phone: 201-750-8311