Provider Demographics
NPI:1902800725
Name:HOCHBERGER, JUDITH MARIE (PHD,APN,C)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:MARIE
Last Name:HOCHBERGER
Suffix:
Gender:F
Credentials:PHD,APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 MANCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2031
Mailing Address - Country:US
Mailing Address - Phone:856-582-9071
Mailing Address - Fax:856-582-9071
Practice Address - Street 1:4501 ROUTE 42
Practice Address - Street 2:SUITE 5
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1776
Practice Address - Country:US
Practice Address - Phone:856-740-9777
Practice Address - Fax:856-740-9990
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR06083600364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJNK9OtherGROUP NO.
NJ6633706Medicaid
NJNK9OtherGROUP NO.
NJ052739Medicare ID - Type UnspecifiedMEDICARE