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BERGEN KIDNEY CENTER PC
NPI 1679770952
Internal Medicine - Nephrology in Englewood, NJ

Active since June 29, 2007CLIA 31D0940157 · Waiver
300 GRAND AVENUE, SUITE 101, ENGLEWOOD, NJ 07631(201) 567-5787(201) 567-7652 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2026, Jan 14, 2026, Nov 11, 2025 and 1 more (4 updates tracked since 2021).

About Bergen Kidney Center Pc NPPES

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

BERGEN KIDNEY CENTER PC (NPI 1679770952) is a healthcare organization registered as a nephrology in Englewood, New Jersey and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through December 19, 2027, maintains a secondary practice location in Westwood, and lists Naomi Cassin, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1679770952
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBERGEN KIDNEY CENTER PC
Location Address300 GRAND AVENUE, SUITE 101Englewood, NJ 07631-6581
Mailing Address300 Grand Ave Ste 101Englewood, NJ 07631-6300 · (201) 567-5787 · Fax (201) 567-7652
Phone(201) 567-5787
Fax(201) 567-7652
Organization SubpartNo
Authorized OfficialNaomi CassinCredentialing Manager · (331) 216-1156
Enumeration DateJune 29, 2007
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1679770952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · MA057981
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
300 GRAND AVENUE, Englewood, NJ 07631
Open in Google Maps ↗

Secondary Practice Location 1

Location 1250 Old Hook Rd Ste 303BWestwood, NJ 07675-3123 · Phone (201) 567-5787 · Fax (201) 567-7652

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergen Kidney Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bergen Kidney Center PC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Samuel Agahiu, MD
Nephrology
NPI 1992967020
300 GRAND AVE STE 101
Englewood, NJ 07631
(201) 567-5787
✔ PECOS✔ Accepts MedicareSame address
Emmanuelle Gilles, M.D.
Nephrology
NPI 1033321294
300 GRAND AVE STE 101
Englewood, NJ 07631
(201) 567-5787
✔ PECOS✔ Accepts MedicareSame address
Louis Jan, M.D.
Internal Medicine
NPI 1831152966
300 GRAND AVE STE 101
Englewood, NJ 07631
(201) 567-5787
✔ PECOS✔ Accepts MedicareSame address
Marc Zelkowitz, M.D.
Nephrology
NPI 1609134576
300 GRAND AVE STE 101
Englewood, NJ 07631
(201) 567-5787
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Waiver 31D0940157

Bergen Kidney Center · Englewood, NJ
Active · expires Dec 19, 2027
CLIA Number31D0940157
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorLouis Jan
Laboratory Phone(201) 567-5787
Laboratory LocationBergen Kidney Center300 Grand Avenue, Englewood, NJ 07631
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Kidney Center PC's NPI number?

The NPI number for Bergen Kidney Center PC is 1679770952. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Bergen Kidney Center PC located?

Bergen Kidney Center PC is located at 300 Grand Avenue Suite 101, Englewood, NJ 07631. The listed phone number is (201) 567-5787.

What is Bergen Kidney Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Bergen Kidney Center PC enrolled in Medicare?

Yes. Bergen Kidney Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bergen Kidney Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bergen Kidney Center PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (3) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bergen Kidney Center PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0940157) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bergen Kidney Center PC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Bergen Kidney Center PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bergen Kidney Center PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.