Patricia Ann Brogan, ADVANCE PRACTICE NUR

Primary specialty

Gerontology Clinical Nurse SpecialistTaxonomy code 364SG0600X

License

26NC09345000 Issued in NJ

Practice address

1043 Route 70
Unit C3
Manchester, NJ 08759-5806

Phone

(732) 657-6100

Fax

(732) 657-0111

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid Atlantic Geriatric Associates Ocean PAGroup PAC ID 8123064409, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

Practice roles

Locations

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.

• Mid Atlantic Geriatric Associates-Ocean, P.a

  • Geriatric Medicine (Internal Medicine) Physician
  • Manchester, NJ
  • NPI 1134165210
  Medicare reassignment Care Compare group NPD
• Barnabas Health Medical Group, PC

  • Specialist
  • West Orange, NJ
  • NPI 1447206420
  NPD (past)
• Dr. Paul Bryman

  • Geriatric Medicine (Internal Medicine) Physician
  • Stratford, NJ
  • NPI 1619189453
  NPD (past)
• Kimball Medical Center, Inc

  • Pediatrics Physician
  • Lakewood, NJ
  • NPI 1053360990
  NPD (past)
• KMC Eeg Department Group

  • Neurology Physician
  • Lakewood, NJ
  • NPI 1790735017
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1912944950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 ROUTE 70",
            "address_2": "UNIT C3",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-657-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 ROUTE 70",
            "address_2": "UNIT C3",
            "city": "MANCHESTER",
            "state": "NJ",
            "postal_code": "087595806",
            "telephone_number": "732-657-6100",
            "fax_number": "732-657-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGAN",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ADVANCE PRACTICE NUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "NJ",
            "license": "26NC09345000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "042631UCE",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0640701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allstate Medical Supplies,LLC
• Andiamo Dental LLC
• Apollo Health LLC
• Aristacare at Manchester
• Emmanuela Baker
• Yehuda Buckwold
• Thelma Mapa Buerano, MD
• Walter Burke, LCADC
• Carol E. Cashin, MSW
• Cec Counseling LLC

• Gerontology Clinical Nurse Specialist in Manchester, NJ
• Providers in Manchester, NJ by specialty
• Gerontology Clinical Nurse Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.