Courtney Lauren Berhang, APN
Individual provider Active NPI Family Nurse Practitioner · Bayville, NJ
NPI 1306204458 · NPPES record last updated Feb 3, 2016
Key facts
- NPI
- 1306204458
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 26NJ00618900 (NJ)
- Practice address
- 221 Edward Ave
Bayville, NJ 08721-2402 - Phone
- (732) 801-4780
- NPI assigned
- Feb 3, 2016
- 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 |
|---|---|---|---|---|
| I20160708000235 | NJ | Practitioner - Nurse Practitioner | 9335431519 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00618900 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longevity Clinical LTC Associates of New Jersey | Current |
Accepting new patients | |
| Immediate Care Medical Walk-in of Hazlet, PA | Current |
Accepting new patients | |
| Red Bank Neurorehabilitation Associates, LLC | Past |
Accepting new patients |
Locations
11770 US Highway 1
Ste 102E
Palm Beach Gardens, FL 33408
Phone 56181524270
319 US Highway 130
East Windsor, NJ 08520
Phone (609) 426-4300
1376 State Route 36
Hazlet, NJ 07730
Phone (732) 264-5500
38 Freneau Ave
Matawan, NJ 07747
Phone (732) 765-5600
255 E Main St
Moorestown, NJ 08057
Phone (856) 222-0248
46 Newman Springs Rd E
Ste F
Red Bank, NJ 07701
Phone (732) 933-4100
780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000
1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00618900 | NJ | Yes |
Addresses
Primary practice location
221 Edward Ave
Bayville, NJ 08721-2402
Mailing address
221 Edward Ave
Bayville, NJ 08721-2402
Phone (732) 801-4780
Other providers in Bayville, NJ
- Bayville First Aid Squad
- Andrea Dawn Bazzanella
- Donovan W. Bedward
- Stephanie Sommerlad Bello
- Sakina H. Bengali
- Berkeley Township Board of Education
- Laura R Beyda
- Daniel Bies
- Amelia Birmingham
- Jenny Mara Blankenship
All providers in Bayville, NJ · Family 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 Feb 3, 2016. 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.