BERGEN KIDNEY CENTER PC – Nephrology Physician, NPI 1679770952
Nephrology Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BERGEN KIDNEY CENTER PC
250 Old Hook Rd Ste 303B
Westwood, NJ 076753123
Phone: (201) 567-5787
Fax: (201) 567-7652
Type: Location
300 GRAND AVE STE 101
ENGLEWOOD, NJ 076316300
Phone: (201) 567-5787
Fax: (201) 567-7652
Type: Mailing
Monica Tadros, MD, FACS, 300, Grand Avenue, Englewood, Bergen County, New Jersey, 07631, United States
SUITE 101
ENGLEWOOD, NJ 076314398
Phone: (201) 567-5787
Fax: (201) 567-7652
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-01-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (288 days ago).
Enrollment records
1
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20050113000318 | O | Clinic/Group Practice | NJ | 2025-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07675)
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