Ma Socorro Bersosa Calleja, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

666642-1 Issued in NY

Practice address

345 Princeton Avenue
Rahway, NJ 07065

Phone

(347) 283-8269

NPI assigned

Nov 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Ma Socorro Bersosa Calleja Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Train of Love and Kindness LLC

  • Home Health Agency
  • East Brunswick, NJ
  • NPI 1164125779
  NPD Authorized official

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1598032427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 PRINCETON AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651607",
            "telephone_number": "347-283-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 PRINCETON AVENUE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "07065",
            "telephone_number": "347-283-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLEJA",
        "first_name": "MA SOCORRO",
        "middle_name": "BERSOSA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "666642-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MA SOCORRO",
            "last_name": "CALLEJA",
            "middle_name": "BERSOSA",
            "prefix": "MISS",
            "credential": "BSN, LPN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brianna M Bronaugh, RDN
• Kimberly L Bryant, DPT
• Harold Boy Picache Cacao, PT
• Santasia Cadet
• Philip Caivano
• Natalie Noelle Caneda
• Cardiology Group Rwjuhr
• Care Connection Rahway LLC
• Care Strategies, LLC
• Care Support Services

• Registered Nurse in Rahway, NJ
• Providers in Rahway, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.