Healthcare Provider Details

I. General information

NPI: 1295810778
Provider Name (Legal Business Name): THE BERGEN COUNTY NEONATAL CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 OLD HOOK RD
WESTWOOD NJ
07675-3123
US

IV. Provider business mailing address

645 WESTWOOD AVENUE 2ND FLOOR
RIVER VALE NJ
07675
US

V. Phone/Fax

Practice location:
  • Phone: 201-358-6776
  • Fax: 201-358-1140
Mailing address:
  • Phone: 201-358-6774
  • Fax: 201-358-1140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMA56813
License Number StateNJ

VIII. Authorized Official

Name: DR. MIRTA VEBER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 201-358-6774