Individual provider Active NPI

Jennifer Sotto, RN IBCLC

  • Lactation Consultant (Registered Nurse)
  • Jersey City, NJ
National Provider Identifier
1043037880
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X
License
L-303250 Issued in NJ
Practice address
106 Country Village Rd
Jersey City, NJ 07305-1241
Phone
(201) 294-8967
Fax
(201) 294-8967
NPI assigned
Sep 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X L-303250 NJ Primary

Addresses

Primary practice location

106 Country Village Rd
Jersey City, NJ 07305-1241

Mailing address

106 Country Village Rd
Jersey City, NJ 07305-1241
Phone (201) 294-8967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
L-303250NJMDLactation Consultant (Registered Nurse)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1043037880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 COUNTRY VILLAGE RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051241",
            "telephone_number": "201-294-8967",
            "fax_number": "201-294-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 COUNTRY VILLAGE RD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073051241",
            "telephone_number": "201-294-8967",
            "fax_number": "201-294-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTO",
        "first_name": "JENNIFER",
        "credential": "RN IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "L-303250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.