Individual provider Active NPI

Marion Levy Bergman

  • Social Worker
  • Hamilton, NJ
National Provider Identifier
1487704193
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW010091L Issued in PA
Practice address
89 Marshall Ave
Hamilton, NJ 08610
Phone
(610) 212-1814
Fax
(609) 587-8116
NPI assigned
Jan 12, 2007
Last updated
Jan 25, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW010091L PA Primary

Addresses

Primary practice location

89 Marshall Ave
Hamilton, NJ 08610

Mailing address

PO Box 8152
Trenton, NJ 08650-0152
Phone (610) 212-1814

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000095 NJ Practitioner - Clinical Social Worker 4880866607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifebulb LLCGroup PAC ID 2062881162, 97 clinicians

Practice addresses (Care Compare)

505 Main St
Toms River, NJ 08753-7443
Phone (732) 272-0127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jun 3, 2024 Accepting new patients
Lifebulb LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

3 Lincoln Hwy
Ste 102A
Edison, NJ 08820

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

Organizations & group practices 2

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1487704193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8152",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086500152",
            "telephone_number": "610-212-1814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MARSHALL AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "08610",
            "telephone_number": "610-212-1814",
            "fax_number": "609-587-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "MARION",
        "middle_name": "LEVY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW010091L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.