Provider Demographics
NPI:1437388642
Name:MIDWIVES OF MONMOUTH LLC
Entity Type:Organization
Organization Name:MIDWIVES OF MONMOUTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CNM
Authorized Official - Prefix:MRS
Authorized Official - First Name:FROSTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ROMANO
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:732-774-2300
Mailing Address - Street 1:420 STATE RTE 34 N
Mailing Address - Street 2:SUITE 323
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722
Mailing Address - Country:US
Mailing Address - Phone:732-774-2300
Mailing Address - Fax:732-774-2325
Practice Address - Street 1:420 STATE ROUTE 34 N
Practice Address - Street 2:SUITE 323
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1017
Practice Address - Country:US
Practice Address - Phone:732-774-2300
Practice Address - Fax:732-774-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00017101176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1623206Medicaid
NJ1623206Medicaid