Organization
BERGEN ORTHOPEDIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NEESHA N MOHAMMED (OPERATIONS MANAGER)
(973) 400-1770
Entity
Organization
Contact information
Practice address
185 KINGSLAND ST, NUTLEY, NJ 07110-1119
(973) 400-1770
Mailing address
495 ALLWOOD RD UNIT 4108, CLIFTON, NJ 07012-6822
(973) 400-1770
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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