Individual provider Active NPI

Victoria Aromando Bersch, PT

  • Physical Therapist
  • Cinnaminson, NJ
National Provider Identifier
1447374186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00299600 Issued in NJ
Practice address
1700 Wynwood Dr
Cinnaminson, NJ 08077-2440
Phone
(856) 829-9000
Fax
(856) 786-8130
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00299600 NJ Primary

Addresses

Primary practice location

1700 Wynwood Dr
Cinnaminson, NJ 08077-2440

Mailing address

11 Fox CT
Hainesport, NJ 08036-4808
Phone (609) 267-3252

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

State licenses

LicenseStateTypeSpecialty
40QA00299600NJMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447374186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FOX CT",
            "city": "HAINESPORT",
            "state": "NJ",
            "postal_code": "080364808",
            "telephone_number": "609-267-3252",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WYNWOOD DR",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772440",
            "telephone_number": "856-829-9000",
            "fax_number": "856-786-8130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AROMANDO BERSCH",
        "first_name": "VICTORIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00299600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.