Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bergen Passaic Pediatric Neurology

Organization Neurology with Special Qualifications in Child Neurology Physician · NPI 1417009077

Bergen Passaic Pediatric Neurology is a Neurology with Special Qualifications in Child Neurology Physician in Glen Rock, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007

Practice location Address checks out

66 Glen Ave
Glen Rock, NJ 07452-2132
Phone: (201) 796-9500
Fax: (201) 796-9509
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology with Special Qualifications in Child Neurology Physician (primary) Taxonomy 2084N0402X · Licence 25MA05494400 (NJ)

Record details

NPI number1417009077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judy Woo — Member · (201) 796-9500
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing addressPo Box 919, Glen Rock, NJ 07452-0919

Other providers in Glen Rock