Active NPI
Denise Gardener
- Community Health Registered Nurse
- Bergenfield, NJ
National Provider Identifier
1922677913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 26NR18617900
- Practice address
- 406 S Washington Ave
Bergenfield, NJ 07621-4312 - Phone
- (201) 384-4447
- NPI assigned
- Jun 23, 2021
- Last updated
- Jun 23, 2021
- 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 |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 26NR18617900 | NJ | Primary |
Addresses
Primary practice location
406 S Washington Ave
Bergenfield, NJ 07621-4312
Mailing address
522 Chestnut PL
Teaneck, NJ 07666-2423
Phone (201) 384-4447
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR18617900 | NJ | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
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, 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": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624406400000",
"number": "1922677913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 CHESTNUT PL",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662423",
"telephone_number": "201-384-4447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S WASHINGTON AVE",
"city": "BERGENFIELD",
"state": "NJ",
"postal_code": "076214312",
"telephone_number": "201-384-4447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDENER",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "NJ",
"license": "26NR18617900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bergenfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.