Organization provider

BERGEN PASSAIC PEDIATRIC NEUROLOGY

Neurology with Special Qualifications in Child Neurology Physician

BERGEN PASSAIC PEDIATRIC NEUROLOGY is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417009077, based in Glen Rock, NJ. It is classified under Neurology with Special Qualifications in Child Neurology Physician.

Getting there

The practice address on file is 66 GLEN AVE, Glen Rock, NJ 07452. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

66 GLEN AVE, Glen Rock, NJ 07452 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
25MA05494400 NJ Neurology with Special Qualifications in… primary

This provider holds licence 25MA05494400 issued in NJ. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Neurology with Special Qualifications in Child Neurology covers

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. NUCC Health Care Provider Taxonomy, code 2084N0402X
Allopathic & Osteopathic Physicians Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1417009077 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateJan 16, 2007
Last updatedJan 25, 2023
StatusActive
Practice address 66 GLEN AVE
Glen Rock, NJ 07452
(201) 796-9500
Fax (201) 796-9509
Mailing address PO BOX 919
Glen Rock, NJ 07452
The last update on file is Jan 25, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1417009077 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 0 0 9 0 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 0 0 9 0 5

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417009077?
NPI 1417009077 is the National Provider Identifier assigned to BERGEN PASSAIC PEDIATRIC NEUROLOGY in Glen Rock, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Neurology with Special Qualifications in Child Neurology cover?
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.
How do I contact BERGEN PASSAIC PEDIATRIC NEUROLOGY?
The phone number on file with NPPES is (201) 796-9500, last updated Jan 25, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1417009077 a valid number?
Yes. 1417009077 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.