Provider Demographics
NPI:1790733756
Name:JONES, CATHERINE MARY (CNM)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARY
Last Name:JONES
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:680 KINDERKAMACK RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1600
Mailing Address - Country:US
Mailing Address - Phone:201-391-5443
Mailing Address - Fax:201-391-8019
Practice Address - Street 1:680 KINDERKAMACK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1600
Practice Address - Country:US
Practice Address - Phone:201-391-5443
Practice Address - Fax:201-391-8019
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
UT5264771-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
1790733756Medicare UPIN