Provider Demographics
NPI:1356758924
Name:MCGRATH, JOANNA (CNM)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:MCGRATH
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:MS
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:MCGRATH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CNM
Mailing Address - Street 1:227 LAUREL RD
Mailing Address - Street 2:STE 300
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-8303
Mailing Address - Country:US
Mailing Address - Phone:856-669-6025
Mailing Address - Fax:856-651-0794
Practice Address - Street 1:599 SHORE RD
Practice Address - Street 2:STE 101
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2400
Practice Address - Country:US
Practice Address - Phone:856-262-8300
Practice Address - Fax:856-262-1635
Is Sole Proprietor?:No
Enumeration Date:2014-07-16
Last Update Date:2023-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25ME00055800176B00000X
SC26285363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
No176B00000XOther Service ProvidersMidwife