# BERGEN MEDICAL ALLIANCE PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BERGEN MEDICAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669495099
- **Authorized official:** MR. JOHN MASIELLO CMPE (COO)
- **Authorized official phone:** (201) 567-2050

## Contact information

- **Practice address:** 180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
- **Practice address phone:** (201) 567-2050
- **Practice address fax:** (201) 567-5070
- **Mailing address:** 180 ENGLE ST, ENGLEWOOD, NJ 07631-2507
- **Mailing address phone:** (201) 567-2050
- **Mailing address fax:** (201) 567-5070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | NULL | — |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 05/04/2011