BERGEN DERMATOLOGY SPECIALISTS PA
NPI 1598860280
Dermatology in Ridgewood, NJ

Active since September 14, 2006CLIA 31D0868680 · Certificate of Compliance
400 ROUTE 17 SOUTH, RIDGEWOOD, NJ 07450(201) 652-4536(201) 652-4906 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2025, Feb 15, 2021, Dec 11, 2020 (3 updates tracked since 2020).

About Bergen Dermatology Specialists Pa NPPES

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

BERGEN DERMATOLOGY SPECIALISTS PA (NPI 1598860280) is a healthcare organization registered as a dermatology in Ridgewood, New Jersey and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through January 14, 2028 and lists Kapila Paghdal, President, as its authorized official.

NPPES Registry Identity

NPI1598860280
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBERGEN DERMATOLOGY SPECIALISTS PA
Location Address400 ROUTE 17 SOUTHRidgewood, NJ 07450
Mailing Address400 Route 17 SouthRidgewood, NJ 07450 · (201) 652-4536 · Fax (201) 652-4906
Fax(201) 652-4906
Organization SubpartNo
Authorized OfficialKapila PaghdalPresident · (201) 652-4536
Enumeration DateSeptember 14, 2006
Last NPPES UpdateFebruary 17, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
NPI 1598860280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
400 ROUTE 17 SOUTH, Ridgewood, NJ 07450

Other Identifiers 1

Medicaid2619903NJ

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 of Compliance 31D0868680

Bergen Dermatology Specialists · Ridgewood, NJ
Active · expires Jan 14, 2028
CLIA Number31D0868680
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2026
Certificate Expiration DateJanuary 14, 2028
Laboratory DirectorKapila V. Paghdal
Laboratory Phone(201) 652-4536
Laboratory LocationBergen Dermatology Specialists400 Route 17 South, Ridgewood, NJ 07450
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

Occupational Therapist (Hand)
400 ROUTE 17 SOUTH
RIDGEWOOD, NJ 07450
Dermatology
400 ROUTE 17 SOUTH
RIDGEWOOD, NJ 07450
Dermatology
400 ROUTE 17 SOUTH
RIDGEWOOD, NJ 07450

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 Dermatology Specialists PA's NPI number?

The NPI number for Bergen Dermatology Specialists PA is 1598860280. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Bergen Dermatology Specialists PA located?

Bergen Dermatology Specialists PA is located at 400 Route 17 South, Ridgewood, NJ 07450. The listed phone number is (201) 652-4536.

What is Bergen Dermatology Specialists PA's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Bergen Dermatology Specialists PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 31D0868680) is associated with this NPI, valid through January 14, 2028. 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 Dermatology Specialists PA was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.