# BERGEN NEUROLOGY AND PAIN MANAGEMENT PA

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

## Provider details

- **NPI number:** 1841500881
- **Authorized official:** DR. VIJAYA R DASIKA M.D. (PRESIDENT)
- **Authorized official phone:** (973) 735-4655

## Contact information

- **Practice address:** 600 PAVONIA AVE, 3RD FLOOR, JERSEY CITY, NJ 07306-2929
- **Practice address phone:** (201) 420-1522
- **Practice address fax:** (201) 420-1633
- **Mailing address:** PO BOX 50, LIVINGSTON, NJ 07039-0050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204C00000X | Sports Medicine (Neuromusculoskeletal Medicine) Physician | 25MA03289800 | NJ | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 11/11/2010