# BERGEN WOMEN'S AND ADOLESCENT CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104105717
- **Authorized official:** NIKETA V. GOVINDANI MD (MEMBER/PHYSICIAN)
- **Authorized official phone:** (201) 485-8222

## Contact information

- **Practice address:** 211 ESSEX ST STE 301, HACKENSACK, NJ 07601-3246
- **Practice address phone:** (551) 202-7202
- **Practice address fax:** (201) 742-5328
- **Mailing address:** PO BOX 1140, WARWICK, NY 10990-8140
- **Mailing address phone:** (201) 688-0823
- **Mailing address fax:** (845) 544-2201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 25MA07894100 | NJ | Yes |

## Other

- **Enumeration date:** 08/12/2011
- **Last updated:** 03/27/2019