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BERGEN INTERNAL MEDICINE LLC
NPI 1336373539
Internal Medicine in Fort Lee, NJ

Active since May 04, 2009CLIA 31D0716364 · Microscopy
6 HORIZON RD, FORT LEE, NJ 07024(201) 886-8989(201) 886-8990 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bergen Internal Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERGEN INTERNAL MEDICINE LLC (NPI 1336373539) is a healthcare organization registered as an internal medicine in Fort Lee, New Jersey and active in the NPI registry since May 2009. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Richard Justin Gallo, President, as its authorized official.

NPPES Registry Identity

NPI1336373539
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBERGEN INTERNAL MEDICINE LLC
Location Address6 HORIZON RDFort Lee, NJ 07024-6652
Mailing Address6 Horizon RdFort Lee, NJ 07024-6652 · (201) 886-8989 · Fax (201) 886-8990
Phone(201) 886-8989
Fax(201) 886-8990
Organization SubpartNo
Authorized OfficialRichard Justin GalloPresident · (201) 886-8989
Enumeration DateMay 4, 2009
Last NPPES UpdateOctober 17, 2014
✔ NPI 1336373539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA54263
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6 HORIZON RD, Fort Lee, NJ 07024
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE62864NJ
Medicaid4992806NJ
Medicare PIN682135C78NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 31D0716364

Bergen Internal Medicine, LLC · Fort Lee, NJ
Active · expires Aug 31, 2026
CLIA Number31D0716364
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorRichard Gallo
Laboratory Phone(201) 886-8989
Laboratory LocationBergen Internal Medicine, LLC6 Horizon Road Lobby Level, Fort Lee, NJ 07024
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. MICHAEL HERNANDEZ M.D.
Internal Medicine
6 HORIZON RD
FORT LEE, NJ 07024
Bergen County (201) 886-8989
DR. SHARON A GUTMAN PHD, OTR/L
Occupational Therapist
6 HORIZON RD, APT. 1007
FORT LEE, NJ 07024
Bergen County (201) 777-4411

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bergen Internal Medicine LLC's NPI number?

The NPI number for Bergen Internal Medicine LLC is 1336373539. It was assigned to this organization in the NPPES registry on May 4, 2009.

Where is Bergen Internal Medicine LLC located?

Bergen Internal Medicine LLC is located at 6 Horizon Rd, Fort Lee, NJ 07024. The listed phone number is (201) 886-8989.

What is Bergen Internal Medicine LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Bergen Internal Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 31D0716364) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bergen Internal Medicine LLC was last updated on October 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.