Individual provider Active NPI

Coralie Irene Macqueen, CNM

  • Advanced Practice Midwife
  • New York, NY
National Provider Identifier
1073713038
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00069700 Issued in NJ
Practice address
200 W 57TH St
Suite 1300
New York, NY 10019-3211
Phone
(212) 603-4160
Fax
(212) 603-4166
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00069700 NJ Primary
Advanced Practice Midwife 367A00000X 001253 NY

Addresses

Primary practice location

200 W 57TH St
Suite 1300
New York, NY 10019-3211

Mailing address

200 W 57TH St
Suite 1300
New York, NY 10019-3211
Phone (212) 603-4160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151208001746 NY Practitioner - Certified Nurse Midwife (CNM) 3870893258 Reassigns benefits to 1 organization
I20250925001733 NJ Practitioner - Certified Nurse Midwife (CNM) 3870893258 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

116 Newark Ave
FL 2
Jersey City, NJ 07302-2960
Phone (201) 984-1270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00069700NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Jul 13, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2015 Accepting new patients
Weill Medical College of Cornell Current Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jul 13, 2025 Accepting new patients
Weill Medical College of Cornell CurrentSince Oct 1, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Suny Downstate Medical Center Past Accepting new patients

Locations

59 Newark St
Hoboken, NJ 07030
Phone (201) 656-4800

116 Newark Ave
Ste 2
Jersey City, NJ 07302
Phone (201) 984-1270

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1073713038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-603-4160",
            "fax_number": "212-603-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 57TH ST",
            "address_2": "SUITE 1300",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193211",
            "telephone_number": "212-603-4160",
            "fax_number": "212-603-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACQUEEN",
        "first_name": "CORALIE",
        "middle_name": "IRENE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00069700",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "001253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.