Active NPI
Janet J Bergen, MSW
- Clinical Social Worker
- Edison, NJ
National Provider Identifier
1699749671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC00159500
- Practice address
- 515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598 - Phone
- (732) 777-1940
- Fax
- (732) 777-1889
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC00159500 | NJ | Primary |
Addresses
Primary practice location
515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598
Mailing address
515 Plainfield Ave
Suite 201
Edison, NJ 08817-2598
Phone (732) 777-1940
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC00159500 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Vocational Services of Middlesex County Inc. | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Monroe Township, NJ
- NPI 1720028145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1699749671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 PLAINFIELD AVE",
"address_2": "SUITE 201",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172598",
"telephone_number": "732-777-1940",
"fax_number": "732-777-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 PLAINFIELD AVE",
"address_2": "SUITE 201",
"city": "EDISON",
"state": "NJ",
"postal_code": "088172598",
"telephone_number": "732-777-1940",
"fax_number": "732-777-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGEN",
"first_name": "JANET",
"middle_name": "J",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-15",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC00159500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.