Provider Demographics
NPI:1942389788
Name:BERGEN REHAB, INC.
Entity Type:Organization
Organization Name:BERGEN REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SYLVESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRUZZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-835-4716
Mailing Address - Street 1:220 W PARKWAY STE 12
Mailing Address - Street 2:
Mailing Address - City:POMPTON PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07444-1049
Mailing Address - Country:US
Mailing Address - Phone:973-835-4716
Mailing Address - Fax:973-831-0361
Practice Address - Street 1:220 W PARKWAY STE 12
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444-1049
Practice Address - Country:US
Practice Address - Phone:973-835-4716
Practice Address - Fax:973-831-0361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment