Individual provider Active NPI

Courtney Lauren Berhang, APN

  • Family Nurse Practitioner
  • Bayville, NJ
National Provider Identifier
1306204458
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00618900 Issued in NJ
Practice address
221 Edward Ave
Bayville, NJ 08721-2402
Phone
(732) 801-4780
NPI assigned
Feb 3, 2016
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 26NJ00618900 NJ Primary

Addresses

Primary practice location

221 Edward Ave
Bayville, NJ 08721-2402

Mailing address

221 Edward Ave
Bayville, NJ 08721-2402
Phone (732) 801-4780

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
I20160708000235 NJ Practitioner - Nurse Practitioner 9335431519 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00618900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Immediate Care Medical Walk-in of Hazlet, PA CurrentSince Oct 7, 2017 Accepting new patients
Longevity Clinical LTC Associates of New Jersey CurrentSince Jul 20, 2021 Accepting new patients
Golding Granado Medical Associates PastSince Oct 1, 2017 Accepting new patients
Red Bank Neurorehabilitation Associates, LLC PastSince Jun 14, 2017 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

780 New Brunswick Rd
Somerset, NJ 08873
Phone (732) 653-3000

1 Route 37 W
Toms River, NJ 08753
Phone (732) 281-3201

Organizations & group practices 4

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1306204458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 EDWARD AVE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212402",
            "telephone_number": "732-801-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 EDWARD AVE",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212402",
            "telephone_number": "732-801-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHANG",
        "first_name": "COURTNEY",
        "middle_name": "LAUREN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00618900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayville, NJ

Sources for this page

Verify at the official NPI Registry.