MS. MARY C BERGIN (NPI# 1114062700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114062700 |
| Entity Type | Individual |
| Full Name | MS. MARY C BERGIN |
| Credential | NP |
| Practice Address |
1114 Goffle Rd Hawthorne NJ 07506-2014 |
| Mailing Address |
61 W Glen Ave Paramus NJ 07652-2335 |
| Practice Telephone | 9734277676 |
| Practice Fax Number | 9734277476 |
| Mailing Telephone | 2014440992 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NN07211000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194218305 | Mary Pat Bergin | Registered Nurse | 32901 Weyerhaeuser Way S, Federal Way, WA 98001-9348 | 2018-06-12 |
| 1386886885 | Mary F Bergin | Nurse Anesthetist, Certified Registered | 300 Jeffords St, Suite B, Clearwater, FL 33756-3810 | 2009-03-30 |
| Street Address |
1114 GOFFLE RD |
| City | HAWTHORNE |
| State | NJ |
| Zip Code | 07506-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467517334 | Avril D Anthony-wilson | Family Medicine | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2006-12-22 |
| 1730576612 | Virginia Riggs | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2015-04-19 |
| 1003243981 | Lisa Draucikas | Family Medicine | 1114 Goffle Rd, Suite 103, Hawthorne, NJ 07506-2014 | 2013-10-09 |
| 1760526610 | Ellen Jo Fasanaro | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-16 |
| 1164566915 | Phyllis E Hughes | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851881262 | The Art of Listening Counselling Services LLC | Counselor | 96-98 Parmelee Ave, Hawthorne, NJ 07506 | 2018-05-11 |
| 1275034548 | Erika Hernandez | Social Worker | 121 Rea Avenue, Hawthorne, NJ 07506 | 2018-02-22 |
| 1649702010 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Rockledge Rd, Hawthorne, NJ 07506 | 2017-04-03 |
| 1598109332 | Belgica Rosario | Social Worker | 121 Rea Ave, Hawthorne, NJ 07506 | 2013-04-23 |
| 1972887842 | Kristina Leigh Kupryk | Physician Assistant | 245 Diamond Bridge Avenue, Hawthorne, NJ 07506 | 2011-10-10 |
| 1831322759 | Kerri Scully | Counselor | 135 Westervelt Ave., Hawthorne, NJ 07506 | 2009-08-26 |
| 1558507830 | Roger Earl White | Dentist | 623 Lafayette Avenue, Suite 1, Hawthorne, NJ 07506 | 2008-12-17 |
| 1639292410 | Lafayette Family Dentistry Mgmt Inc | Dentist | 540 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-04-09 |
| 1770609752 | Always There Inc | Home Health | 383 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-03-22 |
| 1407994247 | Anthony Michael Pallotta | Dentist | 164 Warburton Avenue, Hawthorne, NJ 07506 | 2007-02-02 |
| Find all providers in zip 07506 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1083817233 | Joanne Affinito | Nurse Practitioner | 20 Brownstone Ter, Hawthorne, NJ 07506-3447 | 2007-06-06 |
| 1831683861 | Mulberrys Mobile Provider Services | Nurse Practitioner | 6435 Se Us Highway 301, Hawthorne, FL 32640-7309 | 2018-06-22 |
| 1730576612 | Virginia Riggs | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2015-04-19 |
| 1982008553 | Elena Marie Mendez | Nurse Practitioner | 1083 Goffle Rd, Hawthorne, NJ 07506-2025 | 2014-10-10 |
| 1952743379 | Theresa O'connell | Nurse Practitioner | 19 Bradhurst Ave, Suite 700, Hawthorne, NY 10532-2140 | 2013-07-26 |
| 1356599419 | Rosanna Diamente | Nurse Practitioner | 19 Bradhurst Ave, Suite 700, Hawthorne, NY 10532-2140 | 2008-09-03 |
| 1164566915 | Phyllis E Hughes | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-16 |
| 1053378927 | Maureen Burke-davis | Nurse Practitioner | 19 Bradhurst Ave, Hawthorne, NY 10532-2167 | 2006-04-26 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.