| Bergen New Bridge Medical Center Psychiatry Provider Group | |
|
230 E Ridgewood Ave Paramus NJ 07652-4142 | |
| (201) 967-4000 | |
| Not Available |
| Full Name | Bergen New Bridge Medical Center Psychiatry Provider Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 230 E Ridgewood Ave, Paramus, New Jersey |
| Authorized Official Name and Position | Mauro Raguseo (EXECUTIVE DIRECTOR OF BCIA) |
| Authorized Official Contact | 2013366350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bergen New Bridge Medical Center Psychiatry Provider Group 230 E Ridgewood Ave Bldg 10 Paramus NJ 07652-4142 Ph: (201) 967-4001 | Bergen New Bridge Medical Center Psychiatry Provider Group 230 E Ridgewood Ave Paramus NJ 07652-4142 Ph: (201) 967-4000 |
| NPI Number | 1578641924 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Medicare PECOS PAC ID | 9032104047 |
|---|---|
| Medicare Enrollment ID | O20040701000471 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578641924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Arturo-plinio Archila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669565826 PECOS PAC ID: 3274437090 Enrollment ID: I20031124000273 |
| Provider Name | Sailaja Devi Valiveti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053320275 PECOS PAC ID: 5890686422 Enrollment ID: I20040528000272 |
| Provider Name | Mohammad H Ramay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629024005 PECOS PAC ID: 7810979424 Enrollment ID: I20040607000139 |
| Provider Name | Stephen H Jacobs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740370204 PECOS PAC ID: 6507843596 Enrollment ID: I20040707001082 |
| Provider Name | Monica Dhingra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235211608 PECOS PAC ID: 7517923352 Enrollment ID: I20041203000534 |
| Provider Name | Cristina L Blasoni-topsidis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043808058 PECOS PAC ID: 6709833221 Enrollment ID: I20050406000402 |
| Provider Name | Srikanth M Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548335243 PECOS PAC ID: 7517955859 Enrollment ID: I20050504000292 |
| Provider Name | Barbara A Palmer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427182260 PECOS PAC ID: 7618981606 Enrollment ID: I20060130000199 |
| Provider Name | Arturo L Marrero-figarella |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649225236 PECOS PAC ID: 5991889206 Enrollment ID: I20080226000322 |
| Provider Name | Karine V Airapetian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952593816 PECOS PAC ID: 3476602830 Enrollment ID: I20090514000502 |
| Provider Name | Erica R Schiffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013041631 PECOS PAC ID: 5597890996 Enrollment ID: I20100323000777 |
| Provider Name | Mohammed N Saeed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659599256 PECOS PAC ID: 9931245867 Enrollment ID: I20100428000287 |
| Provider Name | Marina Haghour-vwich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063612059 PECOS PAC ID: 5991990939 Enrollment ID: I20101116000493 |
| Provider Name | Asghar S.m. Hossain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295824381 PECOS PAC ID: 1850580911 Enrollment ID: I20110105001093 |
| Provider Name | Maria E Saiz Quintana |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285878272 PECOS PAC ID: 8426234089 Enrollment ID: I20110516000442 |
| Provider Name | Irmute Usiene |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588862221 PECOS PAC ID: 1557530870 Enrollment ID: I20110803000053 |
| Provider Name | Drew K Losak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366712457 PECOS PAC ID: 1052578028 Enrollment ID: I20120202000149 |
| Provider Name | Renee Kuperinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174893325 PECOS PAC ID: 9234396219 Enrollment ID: I20120202000270 |
| Provider Name | Bharati A Palkhiwala |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346313376 PECOS PAC ID: 1052379872 Enrollment ID: I20120808000124 |
| Provider Name | Michelle L Thorpe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891956843 PECOS PAC ID: 4082868005 Enrollment ID: I20130129000080 |
| Provider Name | Marek Belz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073732699 PECOS PAC ID: 0446492631 Enrollment ID: I20130819000500 |
| Provider Name | Manoj Puthiyathu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649408956 PECOS PAC ID: 7416279617 Enrollment ID: I20141125000429 |
| Provider Name | Prathila Nair |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235397373 PECOS PAC ID: 7214161611 Enrollment ID: I20150115002012 |
| Provider Name | Mehnaz Waseem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174810873 PECOS PAC ID: 9234440421 Enrollment ID: I20150615000833 |
| Provider Name | Mike Bellamy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952722365 PECOS PAC ID: 7113222902 Enrollment ID: I20160216000930 |
| Provider Name | Carol Zeik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437512555 PECOS PAC ID: 0648579375 Enrollment ID: I20160503000024 |
| Provider Name | Vandana P Kethini |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1982959839 PECOS PAC ID: 8325321987 Enrollment ID: I20170207000289 |
| Provider Name | Semeerah Akhtar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881075364 PECOS PAC ID: 1951632546 Enrollment ID: I20191014000179 |
| Provider Name | Tymaz Adel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326429614 PECOS PAC ID: 7214268499 Enrollment ID: I20191021000638 |
| Provider Name | Ulfat Shahzadi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508271180 PECOS PAC ID: 0244662534 Enrollment ID: I20191106002671 |
| Provider Name | Shahan Sibtain |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932562345 PECOS PAC ID: 7911336987 Enrollment ID: I20200327000020 |
| Provider Name | Ferhana Nadeem |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255652988 PECOS PAC ID: 2668890773 Enrollment ID: I20200922000199 |
| Provider Name | Melissa S Audige- Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932342755 PECOS PAC ID: 7911055868 Enrollment ID: I20200923000806 |
| Provider Name | Juan Penaloza |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730346453 PECOS PAC ID: 6406023860 Enrollment ID: I20201230001925 |
| Provider Name | Jose A Sanchez Lacay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316076029 PECOS PAC ID: 3870733595 Enrollment ID: I20210816000173 |
| Provider Name | Lisa Polak-dean |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265195275 PECOS PAC ID: 4082091947 Enrollment ID: I20220513001834 |
| Provider Name | Lara E Addesso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821522780 PECOS PAC ID: 0244644466 Enrollment ID: I20220815002291 |
| Provider Name | Alessandra Santamaria |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1194389981 PECOS PAC ID: 9335525781 Enrollment ID: I20221007002219 |
| Provider Name | Steven Vayalumkal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700375391 PECOS PAC ID: 0345629580 Enrollment ID: I20221102000737 |
| Provider Name | Himansh Saxena |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578098281 PECOS PAC ID: 1951773274 Enrollment ID: I20230215001719 |
| Provider Name | Vincenzo Nicosia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871366690 PECOS PAC ID: 8729436670 Enrollment ID: I20231202000695 |
Arista Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Route 17 North, Suite 313, Paramus, NJ 07652 Phone: 201-368-3700 Fax: 201-368-0055 | |
Care Plus Nj Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 Valley Health Plz, Paramus, NJ 07652 Phone: 201-986-5029 | |
D & S Psychological Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 15 Farview Ter, Suite 1, Paramus, NJ 07652 Phone: 551-579-4441 Fax: 201-301-7393 | |
Harmony Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Woodland Ave, Paramus, NJ 07652 Phone: 201-312-5715 Fax: 201-477-0872 | |
Ramakrishna Gudapati Md Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 683 Victoria Ave, Paramus, NJ 07652 Phone: 551-298-3626 | |
Baker Street Mind Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Madison Ave Ste 306, Paramus, NJ 07652 Phone: 201-381-6136 Fax: 201-660-8271 | |
Aadvantage Psychological Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 N Rte 17, Paramus, NJ 07652 Phone: 201-368-3700 |