Individual provider Active NPI

Rosemary Brennan McGonigle, APN

  • Adult Health Nurse Practitioner
  • Williamstown, NJ
National Provider Identifier
1710258918
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00713900 Issued in NJ
Practice address
364 Berlin Cross Keys Rd
Williamstown, NJ 08094-3473
Phone
(856) 885-2790
Fax
(856) 221-4108
NPI assigned
Jan 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN288228L PA
Registered Nurse 163W00000X 26NR07189100 NJ
Adult Health Nurse Practitioner 363LA2200X 26NJ00713900 NJ Primary

Addresses

Primary practice location

364 Berlin Cross Keys Rd
Williamstown, NJ 08094-3473

Mailing address

134 Bridgeton Pike Ste C
Mullica Hill, NJ 08062-2616
Phone (856) 507-2783

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170508001339 NJ Practitioner - Nurse Practitioner 8325325954 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR07189100NJMDRegistered Nurse
RN288228LPAMDRegistered Nurse
26NJ00713900NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dialog Healthcare, LLC CurrentSince Mar 22, 2025 Accepting new patients
Great Health Medical New Jersey PC CurrentSince Jan 9, 2025 Accepting new patients

Locations

1399 Chapel Ave W
Cherry Hill, NJ 08002
Phone (718) 501-5623

101 Chase Ave
Ste 105
Lakewood, NJ 08701
Phone (212) 201-1252

50 Chestnut Ridge Rd
Ste 130
Montvale, NJ 07645
Phone (845) 213-3134

56 Hamilton Ave
Passaic, NJ 07055
Phone (732) 955-9047

1311 Durham Ave
South Plainfield, NJ 07080
Phone (732) 227-1226

407 Willoughby Ave
Brooklyn, NY 11205
Phone (212) 201-1252

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1710258918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE STE C",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622616",
            "telephone_number": "856-507-2783",
            "fax_number": "856-221-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 BERLIN CROSS KEYS RD",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943473",
            "telephone_number": "856-885-2790",
            "fax_number": "856-221-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGONIGLE",
        "first_name": "ROSEMARY",
        "middle_name": "BRENNAN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN288228L",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR07189100",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00713900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

Verify at the official NPI Registry.