BERGEN PASSAIC PEDIATRIC NEUROLOGY
NPI 1417009077
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Glen Rock, NJ

Active since January 16, 2007
66 GLEN AVE, GLEN ROCK, NJ 07452(201) 796-9500(201) 796-9509 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bergen Passaic Pediatric Neurology NPPES

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

BERGEN PASSAIC PEDIATRIC NEUROLOGY (NPI 1417009077) is a healthcare organization registered as a neurology with special qualifications in child neurology in Glen Rock, New Jersey and active in the NPI registry since January 2007. The organization lists Judy Woo, Member, as its authorized official.

NPPES Registry Identity

NPI1417009077
Entity TypeOrganization
Primary Taxonomy2084N0402X
Legal Business NameBERGEN PASSAIC PEDIATRIC NEUROLOGY
Location Address66 GLEN AVEGlen Rock, NJ 07452-2132
Mailing AddressPo Box 919Glen Rock, NJ 07452-0919 · (201) 796-9500 · Fax (201) 796-9509
Fax(201) 796-9509
Organization SubpartNo
Authorized OfficialJudy WooMember · (201) 796-9500
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
NPI 1417009077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License Licensed in NJ · 25MA05494400
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
66 GLEN AVE, Glen Rock, NJ 07452

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

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
66 GLEN AVE
GLEN ROCK, NJ 07452

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 Passaic Pediatric Neurology's NPI number?

The NPI number for Bergen Passaic Pediatric Neurology is 1417009077. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Bergen Passaic Pediatric Neurology located?

Bergen Passaic Pediatric Neurology is located at 66 Glen Ave, Glen Rock, NJ 07452. The listed phone number is (201) 796-9500.

What is Bergen Passaic Pediatric Neurology's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

When was this NPI record last updated?

The NPPES record for Bergen Passaic Pediatric Neurology was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.