- Practice location
- 81 Veronica Ave Ste 205, Somerset, NJ 08873-3491
- Phone
- 732-640-5316
- Fax
- 800-689-2361
- Last updated
- June 27, 2024
Derek Berglund is a Surgery based in Somerset, NJ. Derek Berglund practices in Somerset, NJ. The NPI Number for Derek Berglund is 1235526591 and holds a License No. 142708 (MT). The current practice location address for Derek Berglund is 81 Veronica Ave Ste 205, Somerset, NJ 08873-3491 and can be reached out via phone at 732-640-5316 and via fax at 800-689-2361.
Provider Profile Details
- NPI Number
- 1235526591
- Provider Name
- Derek Berglund
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 81 Veronica Ave Ste 205, Somerset, NJ 08873-3491
- Phone Number
- 732-640-5316
- Fax Number
- 800-689-2361
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2015
- Last Update Date
- June 27, 2024
- Certification Date
- June 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 81 Veronica Ave Ste 205
Somerset, NJ 08873-3491 - City
- Somerset
- State
- New Jersey
- Zip
- 08873-3491
- Phone Number
- 732-640-5316
- Fax Number
- 800-689-2361
Provider Business Mailing Address Details
- Address
- 549 Manchester CT
Piscataway, NJ 08854-6221 - City
- Piscataway
- State
- NJ
- Zip
- 08854-6221
- Phone Number
- 701-226-1806
License Information
- License Number (1)
- 142708
- License State (1)
- MT
- Taxonomy (1)
- Surgery · 208600000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 25MA11864000
- License State (3)
- NJ
- Taxonomy (3)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Derek Berglund?
The NPI number of Derek Berglund is 1235526591. It was assigned on April 23, 2015 and is currently active in the NPPES registry.
What is the specialty of Derek Berglund?
Derek Berglund is registered under the primary taxonomy Surgery (code 208600000X), licensed in MT under license number 142708.
Where does Derek Berglund practice?
The practice location is 81 Veronica Ave Ste 205, Somerset, NJ 08873-3491. The office can be reached at 732-640-5316 (phone) or 800-689-2361 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235526591 directly on the NPPES registry website.