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BERGEN VOLUNTEER MEDICAL INITIATIVE
NPI 1972757755
Clinic/Center in Hackensack, NJ

Active since November 06, 2008CLIA 31D1095699 · Waiver
75 ESSEX ST STE 100, HACKENSACK, NJ 07601(201) 342-2478(201) 518-8494 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 31, 2023, Dec 29, 2022 (2 updates tracked since 2022).

About Bergen Volunteer Medical Initiative NPPES

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

BERGEN VOLUNTEER MEDICAL INITIATIVE (NPI 1972757755) is a healthcare organization registered as a clinic/center in Hackensack, New Jersey and active in the NPI registry since November 2008. The organization holds a CLIA Waiver certificate valid through February 12, 2027 and lists Arthur Robert De Simone, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972757755
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBERGEN VOLUNTEER MEDICAL INITIATIVE
Location Address75 ESSEX ST STE 100Hackensack, NJ 07601-4034
Mailing Address75 Essex St Ste 100Hackensack, NJ 07601-4034 · (202) 342-2478 · Fax (201) 518-8494
Phone(201) 342-2478
Fax(201) 518-8494
Organization SubpartNo
Authorized OfficialArthur Robert De SimoneMedical Director · (201) 342-2478
Enumeration DateNovember 6, 2008
Last NPPES UpdateJanuary 31, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 31, 2023
✔ NPI 1972757755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
75 ESSEX ST STE 100, Hackensack, NJ 07601
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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 31D1095699

Bergen Volunteer Medical Initiative Inc · Hackensack, NJ
Active · expires Feb 12, 2027
CLIA Number31D1095699
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorJasneet Kaur
Laboratory Phone(201) 342-2478
Laboratory LocationBergen Volunteer Medical Initiative Inc75 Essex Street Suite 100, Hackensack, NJ 07601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

GLORIA JEKIC RN
Registered Nurse (Administrator)
75 ESSEX ST STE 100
HACKENSACK, NJ 07601
Bergen County (201) 342-2478
DR. SO YOUNG HAN PHARMD
Pharmacist
75 ESSEX ST STE 100
HACKENSACK, NJ 07601
Bergen County (201) 342-2478
DR. TONI TORTORELLA GENOVA DNP, APN-C, FNP-BC
Nurse Practitioner (Family)
75 ESSEX ST STE 100
HACKENSACK, NJ 07601
Bergen County (201) 343-2478

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 Volunteer Medical Initiative's NPI number?

The NPI number for Bergen Volunteer Medical Initiative is 1972757755. It was assigned to this organization in the NPPES registry on November 6, 2008.

Where is Bergen Volunteer Medical Initiative located?

Bergen Volunteer Medical Initiative is located at 75 Essex St Ste 100, Hackensack, NJ 07601. The listed phone number is (201) 342-2478.

What is Bergen Volunteer Medical Initiative's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Bergen Volunteer Medical Initiative hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1095699) is associated with this NPI, valid through February 12, 2027. 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 Volunteer Medical Initiative was last updated on January 31, 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.