Active NPI
Bergen Lewis, CERTIFIED DOULA
- Doula
- Hamilton, NJ
National Provider Identifier
1326700295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 713 Nottinghill LN
Hamilton, NJ 08619-4009 - Phone
- (856) 434-1017
- NPI assigned
- Oct 8, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
713 Nottinghill LN
Hamilton, NJ 08619-4009
Mailing address
713 Nottinghill LN
Hamilton, NJ 08619-4009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | NJ | NA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | msbergeneb@outlook.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634947200000",
"number": "1326700295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 NOTTINGHILL LN",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086194009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713 NOTTINGHILL LN",
"city": "HAMILTON",
"state": "NJ",
"postal_code": "086194009",
"telephone_number": "856-434-1017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "BERGEN",
"name_prefix": "Mrs.",
"credential": "CERTIFIED DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-08",
"last_updated": "2021-10-23",
"certification_date": "2021-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "msbergeneb@outlook.com",
"affiliation": "N",
"endpointDescription": "Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "713 Nottinghill lane",
"city": "Hamilton",
"state": "NJ",
"country_code": "US",
"postal_code": "08619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hamilton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.