Individual provider Active NPI

Brenda L Allgood, RN, CPNP

  • Pediatric Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1073706222
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ00115600 Issued in NJ
Practice address
646 Kings Hwy
West Deptford, NJ 08096-3145
Phone
(856) 879-2887
NPI assigned
Aug 21, 2007
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ00115600 NJ Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012002796 NJ Practitioner - Nurse Practitioner 1759516784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Dec 1, 2023 Accepting new patients
Advocare , LLC CurrentSince Dec 1, 2023 Accepting new patients
Advocare 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

  • Direct secure messaging: brenda.allgood@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1073706222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 MANTUA PIKE",
            "address_2": "601 OFFICE PLAZA, 2ND FLOOR",
            "city": "WENONAH",
            "state": "NJ",
            "postal_code": "080901141",
            "telephone_number": "856-468-8330",
            "fax_number": "856-468-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 KINGS HWY",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963145",
            "telephone_number": "856-879-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Mantua Pike",
            "address_2": "601 Office Plaza, 2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Wenonah",
            "state": "NJ",
            "postal_code": "080901141",
            "country_code": "US",
            "telephone_number": "856-468-8330",
            "fax_number": "856-468-9121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "BRENDA",
        "middle_name": "L",
        "credential": "RN, CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ00115600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.