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BERGEN ORTHOPAEDIC SURGERY & SPORTS MEDICINE
NPI 1790752426
Orthopaedic Surgery - Sports Medicine in Closter, NJ

Active since March 01, 2006
235 CLOSTER DOCK ROAD, CLOSTER, NJ 07624(201) 666-0013(877) 547-5841 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bergen Orthopaedic Surgery & Sports Medicine NPPES

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

BERGEN ORTHOPAEDIC SURGERY & SPORTS MEDICINE (NPI 1790752426) is a healthcare organization registered as a sports medicine in Closter, New Jersey and active in the NPI registry since March 2006. The organization lists Alan Mervyn Miller, Owner, as its authorized official.

NPPES Registry Identity

NPI1790752426
Entity TypeOrganization
Primary Taxonomy207XX0005X
Legal Business NameBERGEN ORTHOPAEDIC SURGERY & SPORTS MEDICINE
Location Address235 CLOSTER DOCK ROADCloster, NJ 07624-1947
Mailing Address235 Closter Dock RoadCloster, NJ 07624-1947 · (201) 666-0013 · Fax (877) 547-5841
Phone(201) 666-0013
Fax(877) 547-5841
Organization SubpartNo
Authorized OfficialAlan Mervyn MillerOwner · (201) 666-0013
Enumeration DateMarch 1, 2006
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1790752426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
235 CLOSTER DOCK ROAD, Closter, NJ 07624
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergen Orthopaedic Surgery & Sports Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20100923000091Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bergen Orthopaedic Surgery & Sports Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Alan Miller, MD
Orthopedic Surgery
NPI 1306813720
235 CLOSTER DOCK ROAD
Closter, NJ 07624
(201) 666-0013
✔ 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.

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 Orthopaedic Surgery & Sports Medicine's NPI number?

The NPI number for Bergen Orthopaedic Surgery & Sports Medicine is 1790752426. It was assigned to this organization in the NPPES registry on March 1, 2006.

Where is Bergen Orthopaedic Surgery & Sports Medicine located?

Bergen Orthopaedic Surgery & Sports Medicine is located at 235 Closter Dock Road, Closter, NJ 07624. The listed phone number is (201) 666-0013.

What is Bergen Orthopaedic Surgery & Sports Medicine's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Bergen Orthopaedic Surgery & Sports Medicine enrolled in Medicare?

Yes. Bergen Orthopaedic Surgery & Sports Medicine is registered in the Medicare PECOS enrollment system.

When is Bergen Orthopaedic Surgery & Sports Medicine's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Bergen Orthopaedic Surgery & Sports Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Bergen Orthopaedic Surgery & Sports Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bergen Orthopaedic Surgery & Sports Medicine was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.