Active NPI
Mary Ann M Brogden, APNC
- Pulmonary Disease Physician
- Voorhees, NJ
National Provider Identifier
1851570030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 26N007123000
- Practice address
- 100 Carnie Blvd
Suite A5
Voorhees, NJ 08043-4512 - Phone
- (856) 751-8777
- Fax
- (856) 424-1246
- NPI assigned
- Oct 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 26N007123000 | NJ | Primary |
Addresses
Primary practice location
100 Carnie Blvd
Suite A5
Voorhees, NJ 08043-4512
Mailing address
100 Carnie Blvd
Suite A5
Voorhees, NJ 08043-4512
Phone (856) 751-8777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26N007123000 | NJ | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Jersey Pulmonary Spec | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pulmonary Disease Physician
- Voorhees, NJ
- NPI 1841203593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193184000000",
"number": "1851570030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CARNIE BLVD",
"address_2": "SUITE A5",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434512",
"telephone_number": "856-751-8777",
"fax_number": "856-424-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CARNIE BLVD",
"address_2": "SUITE A5",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434512",
"telephone_number": "856-751-8777",
"fax_number": "856-424-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROGDEN",
"first_name": "MARY ANN",
"middle_name": "M",
"credential": "APNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2007-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "26N007123000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.