Brenda L Allgood, RN, CPNP
Individual provider Active NPI Pediatric Nurse Practitioner · West Deptford, NJ
NPI 1073706222 · NPPES record last updated Oct 6, 2023
Key facts
- NPI
- 1073706222
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 26NJ00115600 (NJ)
- Practice address
- 646 Kings Hwy
West Deptford, NJ 08096-3145 - Phone
- (856) 879-2887
- NPI assigned
- Aug 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231012002796 | NJ | Practitioner - Nurse Practitioner | 1759516784 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00115600 | NJ | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare , LLC | Current |
Accepting new patients | |
| Advocare, LLC | Current |
Accepting new patients | |
| Advocare, LLC | Past | Accepting new patients |
Locations
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033
25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777
19 Village Center Dr
Swedesboro, NJ 08085
Phone (856) 468-8330
646 Kings Hwy
West Deptford, NJ 08096
Phone (856) 879-2887
Interoperability endpoints
- brenda.allgood@advocaredoctors.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ00115600 | NJ | Yes |
Addresses
Primary practice location
646 Kings Hwy
West Deptford, NJ 08096-3145
Mailing address
1050 Mantua Pike
601 Office Plaza, 2ND Floor
Wenonah, NJ 08090-1141
Phone (856) 468-8330
Other practice location 1
1050 Mantua Pike
601 Office Plaza, 2nd Floor
Wenonah, NJ 08090-1141
Phone (856) 468-8330
Other providers in West Deptford, NJ
- Acme Markets Inc
- Advocare, LLC
- Aeris Consulting & Management, LLC
- Agr Professional Counseling Services
- Colleen Anna Albright
- Amy Degirolamo LLC Therapy
- Nicole Anderson
- Nicole Andrews
- Ansible Health Medical Group of New Jersey PC
- Lauren Antonison
All providers in West Deptford, NJ · Pediatric Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.