Active NPI
Rosemary Brennan McGonigle, APN
- Adult Health Nurse Practitioner
- Williamstown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00713900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR07189100 | NJ | MD | Registered Nurse |
| RN288228L | PA | MD | Registered Nurse |
| 26NJ00713900 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dialog Healthcare, LLC | Current | Accepting new patients | |
| Great Health Medical New Jersey PC | Current | 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.
-
- Family Medicine Physician
- Lakewood, NJ
- NPI 1417681008
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.