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Provider Information for 1487195871


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BRETTE KONOPKA APN


Sex: Female

NPI: 1487195871
Last Updated: 2024-11-13
Certification Date: 2024-11-13

Details

NameValue
NPI1487195871
Enumeration Date2017-03-17
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 2271 HIGHWAY 33
STE 103
HAMILTON, NJ 08690-1749
United States

Phone: 609-890-4080 | Fax:609-890-4090
 
Primary Practice Address 239 HURFFVILLE CROSSKEYS RD STE 160
SEWELL, NJ 08080-4005
United States

Phone: 856-341-8200 | Fax:856-341-8215
 
Secondary Practice Address(es)

1201 NEW RD STE 120
LINWOOD, NJ 08221-1152
United States

Phone: 888-407-5985 | Fax:856-566-8666
 

128 ROUTE 70 STE 1
MEDFORD, NJ 08055-2371
United States

Phone: 609-367-0900 | Fax:609-367-0901
 

401 YOUNG AVE STE 180 FRONT
MOORESTOWN, NJ 08057-3139
United States

Phone: 856-291-8600 | Fax:856-291-8610
 

141 BRIDGETON PIKE UNIT B
MULLICA HILL, NJ 08062-2615
United States

Phone: 856-746-0206 | Fax:856-746-0207
 

555 HIGH ST STE 16A
MOUNT HOLLY, NJ 08060-1084
United States

Phone: 609-444-5610 | Fax:609-444-5611
 

158 ROUTE 73 STE B
VOORHEES, NJ 08043-9539
United States

Phone: 856-247-7230 | Fax:856-247-7231
 

315 ROUTE 70 E STE A
CHERRY HILL, NJ 08034-2408
United States

Phone: 856-375-6240 | Fax:856-375-6241
 

602 W CUTHBERT BLVD UNIT 26 STE A
HADDON TOWNSHIP, NJ 08108
United States

Phone: 856-946-5180 | Fax:856-946-5181
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
bkonopka29848@directvirtua.org
401 Young Ave Ste 180 Front
Moorestown, NJ 08057-3139
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
239 Hurffville Crosskeys Rd Ste 160
Sewell, NJ 08080-4005
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
141 Bridgeton Pike Unit B
Mullica Hill, NJ 08062-2615
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
315 Route 70 E Ste A
Cherry Hill, NJ 08034-2408
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
128 Route 70 Ste 1
Medford, NJ 08055-2371
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
555 High St Ste 16A
Mount Holly, NJ 08060-1084
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
158 Route 73 Ste B
Voorhees, NJ 08043-9539
United States
Direct Messaging Address
bkonopka29848@directvirtua.org
602 W Cuthbert Blvd Unit 26 Ste A
Haddon Township, NJ 08108
United States
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNJ0601543
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 363L00000X - Nurse Practitioner NJ26NJ00716900