Active NPI
Deborah Hood, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Somerdale, NJ
National Provider Identifier
1982299228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 26NO12308000
- Practice address
- 10 Somerdale Square
1200 South White Horse Pike
Somerdale, NJ 08083-1345 - Phone
- (855) 740-1921
- NPI assigned
- Mar 9, 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 26NO12308000 | NJ | Primary |
Addresses
Primary practice location
10 Somerdale Square
1200 South White Horse Pike
Somerdale, NJ 08083-1345
Mailing address
2701 Renaissance Blvd FL 4
King of Prussia, PA 19406-2781
Phone (484) 803-9663
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO12308000 | NJ | MD | Addiction (Substance Use Disorder) Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bravo Medical, LLC | Current | Accepting new patients |
Locations
1200 S White Horse Pike
Somerdale, NJ 08083
Phone (856) 679-2500
2701 Renaissance Blvd
Fl 4
King of Prussia, PA 19406
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.
-
- Methadone Clinic
- Somerdale, NJ
- NPI 1427602960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615248000000",
"number": "1982299228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2701 RENAISSANCE BLVD FL 4",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062781",
"telephone_number": "484-803-9663",
"fax_number": "484-393-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 SOMERDALE SQUARE",
"address_2": "1200 SOUTH WHITE HORSE PIKE",
"city": "SOMERDALE",
"state": "NJ",
"postal_code": "080831345",
"telephone_number": "855-740-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOD",
"first_name": "DEBORAH",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-09",
"last_updated": "2021-03-09",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "26NO12308000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerdale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.