Amenaghawon Ayanru, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · East Orange, NJ
NPI 1083487672 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1083487672
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-132309 (NY)
- Practice address
- 280 S Harrison St Ste 311
East Orange, NJ 07018-1960 - Phone
- (862) 298-2812
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-132309 | NY | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life & Lactation LLC | Lactation Consultant, Non-RN | Current |
Accepting new patients |
| Perinatal Health Equity Foundation | Current |
Accepting new patients |
Locations
280 S Harrison St
Ste 311
East Orange, NJ 07018
Phone (862) 253-3109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-132309 | NY | Yes |
Addresses
Primary practice location
280 S Harrison St Ste 311
East Orange, NJ 07018-1960
Mailing address
1 Meadow Brook Rd
Edison, NJ 08837-2001
Phone (718) 749-4681
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- Sharon Edith Ayers
- Ifunanyachukwu Azikiwe
- Sophia Azor
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- Terrell Baasit
All providers in East Orange, NJ · Lactation Consultant (Non-RN) in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.