Provider Demographics
NPI:1326631490
Name:BERGEN COMPASSION LLC
Entity Type:Organization
Organization Name:BERGEN COMPASSION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:
Authorized Official - First Name:PRATHILA
Authorized Official - Middle Name:K
Authorized Official - Last Name:NAIR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-225-4700
Mailing Address - Street 1:71 WYANDOTTE AVE
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628-2119
Mailing Address - Country:US
Mailing Address - Phone:518-368-3883
Mailing Address - Fax:
Practice Address - Street 1:230 EAST RIDGEWOOD AVENUE
Practice Address - Street 2:BUILDING 6, 2ND FLOOR
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652
Practice Address - Country:US
Practice Address - Phone:201-225-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center