Sheena Bergantinos, RN
Individual provider Active NPI Registered Nurse · Moonachie, NJ
NPI 1518798917 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1518798917
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 779680 (NY)
- Practice address
- 9 Jackson PL
Moonachie, NJ 07074-1216 - Phone
- (201) 450-5447
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 779680 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 779680 | NY | Yes |
Addresses
Primary practice location
9 Jackson PL
Moonachie, NJ 07074-1216
Mailing address
9 Jackson PL
Moonachie, NJ 07074-1216
Phone (201) 450-5447
Other providers in Moonachie, NJ
- Baron 11 of Moonachie Inc
- Ilumed LLC
- Iz Medical LLC
- Jay Shree Krishna Moonachie LLC
- Parampreet Kaur
- Jocelyn Patricia Mariani
All providers in Moonachie, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.