Provider Demographics
NPI:1154135283
Name:BERGER, MORDECHAI
Entity type:Individual
Prefix:
First Name:MORDECHAI
Middle Name:
Last Name:BERGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 US HIGHWAY 22 E APT 5C
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3414
Mailing Address - Country:US
Mailing Address - Phone:908-987-7304
Mailing Address - Fax:
Practice Address - Street 1:1620 US HIGHWAY 22 E
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3414
Practice Address - Country:US
Practice Address - Phone:908-987-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst