Amy Bergquist
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Point Pleasant Boro, NJ
NPI 1700341815 · NPPES record last updated Feb 2, 2019
Key facts
- NPI
- 1700341815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 540 Summit Dr
Point Pleasant Boro, NJ 08742-2781 - Phone
- (732) 674-6939
- NPI assigned
- Feb 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
540 Summit Dr
Point Pleasant Boro, NJ 08742-2781
Mailing address
540 Summit Dr
Point Pleasant Boro, NJ 08742-2781
Phone (732) 674-6939
Other providers in Point Pleasant Boro, NJ
- Lisa Marie Azzolina
- Terry Lewis Bain
- Erica Barrett
- Bay Bridge Counseling, LLC
- Beaver Dam Healthcare LLC
- Danielle Bersch
- Emily A Bessemer
- Jay Robert Bloom
- Laurie Boenning
- Bozza Dental Group, P.a.
All providers in Point Pleasant Boro, NJ · Student in an Organized Health Care Education/Training Program 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 Feb 2, 2019. 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.