Andrew Bornemann
Individual provider Active NPI Counselor · Ewing, NJ
NPI 1104295641 · NPPES record last updated Sep 15, 2015
Key facts
- NPI
- 1104295641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1925 Pennington Rd
Ewing, NJ 08618-1105 - Phone
- (609) 882-1898
- Fax
- (609) 882-3880
- NPI assigned
- Sep 15, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Guidance Center Corporation | Past | Accepting new patients | |
| Family Guidance Center Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1925 Pennington Rd
Ewing, NJ 08618-1105
Mailing address
1931 Nottingham Way
Hamilton, NJ 08619-3554
Phone (609) 882-1898
Other providers in Ewing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.