Basic Information
Provider Information
NPI: 1851910525
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MCGUIRE
FirstName: HELEN
MiddleName: MORGAN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 707 SAINT THOMAS DR
Address2:  
City: EGG HARBOR TOWNSHIP
State: NJ
PostalCode: 082344206
CountryCode: US
TelephoneNumber: 2678669729
FaxNumber:  
Practice Location
Address1: 100 MEDICAL CENTER WAY
Address2:  
City: SOMERS POINT
State: NJ
PostalCode: 082442300
CountryCode: US
TelephoneNumber: 6096533500
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2020
LastUpdateDate: 07/05/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/25/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000X26NR17286200NJN Nursing Service ProvidersRegistered Nurse 
367500000X26NJ01054299NJN Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 
367500000X26NJ01054200NJY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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