Individual provider Active NPI

Brenda Bartkovsky, F.N.P

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1750778635
Registry record updated Apr 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00531300 Issued in NJ
Practice address
100 Kings Way E
Suite D2
Sewell, NJ 08080-2237
Phone
(856) 218-7730
NPI assigned
Apr 19, 2015
Last updated
Apr 19, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00531300 NJ Primary

Addresses

Primary practice location

100 Kings Way E
Suite D2
Sewell, NJ 08080-2237

Mailing address

6 Bryant Rd
Turnersville, NJ 08012-1405
Phone (856) 227-1489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA, PA, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20160113001988 NJ Practitioner - Nurse Practitioner 3375852189 Reassigns benefits to 1 organization
I20210909002036 CA Practitioner - Nurse Practitioner 3375852189 Reassigns benefits to 1 organization
I20231016001288 PA Practitioner - Nurse Practitioner 3375852189 Reassigns benefits to 1 organization
I20231109002575 NY Practitioner - Nurse Practitioner 3375852189 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates of California, PC CurrentSince Aug 8, 2023 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Aug 3, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Sep 12, 2023 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients
My Home Telemed LLC PastSince Apr 6, 2021 Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 650-7800

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429401600000",
    "number": "1750778635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BRYANT RD",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121405",
            "telephone_number": "856-227-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS WAY E",
            "address_2": "SUITE D2",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802237",
            "telephone_number": "856-218-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTKOVSKY",
        "first_name": "BRENDA",
        "credential": "F.N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-19",
        "last_updated": "2015-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00531300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.