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

Bergen Spine Associates

Organization Primary Care Clinic/Center · NPI 1124470786

Bergen Spine Associates is a Primary Care Clinic/Center in Hackensack, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016

Practice location Address checks out

50 Clinton Pl Ste 6
Hackensack, NJ 07601-4580
Phone: (201) 880-6204
Fax: (201) 880-6206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 25MB07566200 (NJ)

Record details

NPI number1124470786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roman Kosiborod — Medical Director · (201) 880-6204
NPI enumeratedJuly 7, 2016
Last updated in NPPESJuly 7, 2016
Mailing address50 Clinton Pl Ste 6, Hackensack, NJ 07601-4580

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