Provider Demographics
NPI:1225304736
Name:EVEREST MEDICAL CENTER OF NORTH BERGEN LLC
Entity Type:Organization
Organization Name:EVEREST MEDICAL CENTER OF NORTH BERGEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MAGDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:MAHMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-650-2009
Mailing Address - Street 1:195 US HIGHWAY 46
Mailing Address - Street 2:STE 4
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512-1833
Mailing Address - Country:US
Mailing Address - Phone:973-650-2009
Mailing Address - Fax:253-650-2009
Practice Address - Street 1:7823 BERGENLINE AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NORTH BERGEN
Practice Address - State:NJ
Practice Address - Zip Code:07047-4942
Practice Address - Country:US
Practice Address - Phone:201-868-9449
Practice Address - Fax:201-868-7497
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EVEREST MEDICAL CENTERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center