Provider Demographics
NPI:1407080807
Name:BERGEN COMPUTER CONSULTING, INC.
Entity Type:Organization
Organization Name:BERGEN COMPUTER CONSULTING, INC.
Other - Org Name:BIO HEALTH TECHNOLOGIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BERENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-220-4906
Mailing Address - Street 1:161 ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1533
Mailing Address - Country:US
Mailing Address - Phone:201-220-4906
Mailing Address - Fax:201-818-9149
Practice Address - Street 1:161 ISLAND AVE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1533
Practice Address - Country:US
Practice Address - Phone:201-220-4906
Practice Address - Fax:201-818-9149
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-13
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC8W6H1OtherEMPIRE BLUE CROSS/BLUE SHIELD PROVIDER