Provider Demographics
NPI:1770638595
Name:HINDIN, PATRICIA KATHRYNE (CNM)
Entity Type:Individual
Prefix:PROF
First Name:PATRICIA
Middle Name:KATHRYNE
Last Name:HINDIN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 CLINTON ST
Mailing Address - Street 2:APT. 302
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-3283
Mailing Address - Country:US
Mailing Address - Phone:201-656-1411
Mailing Address - Fax:201-656-1444
Practice Address - Street 1:65 BERGEN ST
Practice Address - Street 2:SUITE 1127
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-3001
Practice Address - Country:US
Practice Address - Phone:973-972-4307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00042500367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife