NPIMap

Individual provider Active NPI

Bernadett Alfred, CRNP

  • Family Nurse Practitioner
  • Salem, NJ
National Provider Identifier
1053936682
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01036600 Issued in NJ
Practice address
238 E Broadway
Salem, NJ 08079-1108
Phone
(856) 935-7711
Fax
(856) 935-9123
NPI assigned
Jun 9, 2020
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01036600 NJ Primary

Addresses

Primary practice location

238 E Broadway
Salem, NJ 08079-1108

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875

Other names 1

  • Bernadett Alfred Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Balfred001@my.wilmu.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210907000528 NJ Practitioner - Nurse Practitioner 5991101636 Reassigns benefits to 1 organization
I20251121002263 PA Practitioner - Nurse Practitioner 5991101636 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Jersey Family Medical Centers, IncGroup PAC ID 0547170763, shared by 8 NPIs, 42 clinicians

Practice addresses (Care Compare)

238 E Broadway
Salem, NJ 08079-1108
Phone (856) 935-7711

860 S White Horse Pike
Hammonton, NJ 08037-2018
Phone (609) 567-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01036600NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jun 28, 2021 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Jun 28, 2021 Accepting new patients
Dominion Healthcare Clinic LLC CurrentSince Jul 1, 2025 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients
Southern Jersey Family Medical Centers, Inc. Past Accepting new patients

Locations

1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

238 E Broadway
Salem, NJ 08079
Phone (800) 486-0131

6536 Woodland Ave
Philadelphia, PA 19142
Phone (215) 727-3773

Interoperability endpoints

  • Direct secure messaging: balfred001@my.wilmu.edu

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1053936682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 E BROADWAY",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080791108",
            "telephone_number": "856-935-7711",
            "fax_number": "856-935-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFRED",
        "first_name": "BERNADETT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01036600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Balfred001@my.wilmu.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3001 Walnut St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191043414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BERNADETT",
            "last_name": "ALFRED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Salem, NJ

Sources for this page

Verify at the official NPI Registry.