Alice Bromberg, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

NN50117 Issued in NJ

Practice address

336 Center Ave
Westwood, NJ 07675-1702

Phone

(201) 664-7444

Fax

(201) 664-8610

NPI assigned

Jun 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BCD Health Partners

  • Pediatrics Physician
  • Woodland Park, NJ
  • NPI 1225317704
  NPD (past)
• Harmony Pediatrics

  • Pediatric Adolescent Medicine Physician
  • Westwood, NJ
  • NPI 1366502189
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1497794598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CENTER AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751702",
            "telephone_number": "201-664-7444",
            "fax_number": "201-664-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CENTER AVE",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751702",
            "telephone_number": "201-664-7444",
            "fax_number": "201-664-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROMBERG",
        "first_name": "ALICE",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NN50117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breast Fit
• Breast Rehabilitation & Healing Center
• Neal G Breit, M.D.
• Broadway Dental Associates, P.a.
• Broadway Medical Supply Company Inc.
• Mark Lewis Bromberg, DMD
• Renee Bross, MS, OTR
• Janet Browner, MSW, LCSW
• Nancy Buckholz
• Lyndsay Buehler, APN

• Pediatric Nurse Practitioner in Westwood, NJ
• Providers in Westwood, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.