Amie N Bruckler, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP05266900 Issued in NJ

Practice address

1317 White Oak Cir
Egg Harbor City, NJ 08215-4155

Phone

(609) 593-3451

Fax

(609) 593-3451

NPI assigned

May 30, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212105600000",
    "number": "1790943371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 WHITE OAK CIR",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154155",
            "telephone_number": "609-593-3451",
            "fax_number": "609-593-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 WHITE OAK CIR",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082154155",
            "telephone_number": "609-593-3451",
            "fax_number": "609-593-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKLER",
        "first_name": "AMIE",
        "middle_name": "N",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP05266900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samer Awad
• Kalynn Basso
• Fidel Rellama Bernardo, PT
• Larelisa Marie Ramos Bernardo, PT
• Gerald Saul Brooks, DDS
• Career Opportunity Development Inc
• Career Opportunity Development, Inc.
• Richard Thomas Carlson Jr., D.C.
• Chona Santos-Miranda M.D.PC
• Marie Cidelca

• Licensed Practical Nurse in Egg Harbor City, NJ
• Providers in Egg Harbor City, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.