MRS. SUSAN AMY BERGDOLL-FAYKES (NPI# 1245499268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245499268 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN AMY BERGDOLL-FAYKES |
| Credential | MSN, CPNP |
| Practice Address |
693 Main St Lumberton NJ 08048-5043 |
| Mailing Address |
141 Pine Valley Rd Cherry Hill NJ 08034-2816 |
| Practice Telephone | 6092614058 |
| Practice Fax Number | 6092618381 |
| Mailing Telephone | 6092614058 |
| Mailing Fax Number | 6092618381 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
26NN06050200 | NJ | Nursing Service Providers |
| Street Address |
693 MAIN ST |
| City | LUMBERTON |
| State | NJ |
| Zip Code | 08048-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609840602 | Arun Kachroo | Psychiatry & Neurology | 693 Main St, Bldg D, Lumberton, NJ 08048-5043 | 2006-02-15 |
| 1144697442 | Latoya Gaines | Counselor | 693 Main St, Lumberton, NJ 08048-5043 | 2015-08-21 |
| 1104203090 | Dawn Moleins | Nurse Practitioner | 693 Main St, Lumberton, NJ 08048-5043 | 2015-04-30 |
| 1487068805 | Tiffany Palmer | Case Manager/Care Coordinator | 693 Main St, Lumberton, NJ 08048-5043 | 2014-06-13 |
| 1578729943 | Tammy A Rockhill | Nurse Practitioner | 693 Main St, Box 367, Lumberton, NJ 08048-5043 | 2008-08-05 |
| 1750591087 | Mayank Mathur | Psychiatry & Neurology | 693 Main St, Amherst Commons Building D, Lumberton, NJ 08048-5043 | 2007-05-23 |
| 1295954865 | Ted M Rosner Dmd, Pa | Dentist | 693 Main St, Lumberton, NJ 08048-5043 | 2007-04-24 |
| 1609917525 | Gastroenterology Consultants of South Jersey PC | Specialist | 693 Main St, Building A Suite 2, Lumberton, NJ 08048-5043 | 2007-02-12 |
| 1679688972 | Neurology Consultants of Burlington County, Pa | Specialist | 693 Main St, Building D, Lumberton, NJ 08048-5043 | 2006-08-20 |
| 1366557043 | Seth M Keller | Psychiatry & Neurology | 693 Main St, Building B & D, Lumberton, NJ 08048-5043 | 2006-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790285450 | Bright Smiles of Burlington County | Dentist | 693 Main Street, Building B Suite 1, Lumberton, NJ 08048 | 2018-02-19 |
| 1598139230 | Donise Paullette Dumpson | Nurse Anesthetist, Certified Registered | 140 Mt. Holly Bypass, Lumberton, NJ 08048 | 2015-11-18 |
| 1578962486 | Anne Greenwood | Counselor | 79 Chestnut Street, Lumberton, NJ 08048 | 2014-08-15 |
| 1780008136 | Alexander Park | Counselor | 770 Woodland Road, Mt. Holly, NJ 08048 | 2014-02-05 |
| 1396039772 | Linda Jean Wiles | Social Worker | 305 Dove Court, Lumberton, NJ 08048 | 2011-06-03 |
| 1073743365 | Advocating Counseling Enrichment and Development LLC | Social Worker | 41 Bridge Rd, Lumberton, NJ 08048 | 2009-07-21 |
| 1801940721 | Prathima Neruganti | Dentist | 1636 Route 38 Ste 21, Lumberton Plaza, Lumberton, NJ 08048 | 2007-01-22 |
| 1932288743 | Dental Health Associates Pa | Dentist | 1636 21 Rt 38, Lumberton Plaza, Lumberton, NJ 08048 | 2006-11-03 |
| 1093898769 | Patricia R Lyons | Dentist | 1636 21 Rte 38 Lumberton Plaza, Dental Health Associates Pa, Lumberton, NJ 08048 | 2006-10-24 |
| 1295828598 | George M Budd | Dentist | 737 Main Street, George M Budd Dds, Lumberton, NJ 08048 | 2006-10-02 |
| Find all providers in zip 08048 | ||||
| Taxonomy Code | 163WP0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689211351 | Allison Noam | Registered Nurse | 273 Highland Ave, Long Branch, NJ 07740-4649 | 2019-12-02 |
| 1831733286 | Sara Collins | Registered Nurse | 227 Shinnecock Dr, Manalapan, NJ 07726-9520 | 2019-10-29 |
| 1952960114 | Melissa Marie Keiser | Registered Nurse | 575 Route 28 Ste 2100, Raritan, NJ 08869-1363 | 2019-06-11 |
| 1053835363 | Samantha Lynn Cichon | Registered Nurse | 6402 Riverfront Drive, Palmyra, NJ 08065 | 2017-07-28 |
| 1235522301 | Heather Diane Weglinski | Registered Nurse | 2214 Ramapo Ct., Riverdale, NJ 07457 | 2015-03-12 |
| 1417295551 | Tameka W Hall Lee | Registered Nurse | 36a Roosevelt Ave, Carteret, NJ 07008-2477 | 2013-01-24 |
| 1750651063 | Jayne Young Propert | Registered Nurse | 29 Albany Rd, Neptune, NJ 07753-5201 | 2012-01-03 |
| 1003112202 | Marigold Brillantes-benguan | Registered Nurse | 74 Mcadoo Ave, Jersey City, NJ 07305-2018 | 2011-02-04 |
| 1518157221 | Kellye O Jones-ho | Registered Nurse | 4 Annamarie Ct, Woolwich Township, NJ 08085-3095 | 2007-07-30 |
| 1225249824 | Susan Dorney Guild | Registered Nurse | 53 Knightsbridge Rd, Piscataway, NJ 08854-3925 | 2007-05-24 |
| Find all providers with the same taxonomy | ||||
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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.