Active NPI
Sherly Edouard -Joseph, COMMUNITY DOULA
- Doula
- East Orange, NJ
National Provider Identifier
1104522465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 444 William St
East Orange, NJ 07017-2213 - Phone
- (973) 675-1900
- Fax
- (973) 266-7894
- NPI assigned
- Feb 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Primary |
Addresses
Primary practice location
444 William St
East Orange, NJ 07017-2213
Mailing address
444 William St
East Orange, NJ 07017-2213
Phone (973) 675-1900
Other practice location 1
741 Broadway
Newark, NJ 07104-4309
Phone (973) 675-1900
Other practice location 2
1150 Springfield Ave
Irvington, NJ 07111-2441
Phone (973) 675-1900
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675728000000",
"number": "1104522465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 WILLIAM ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172213",
"telephone_number": "973-675-1900",
"fax_number": "973-266-7894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 WILLIAM ST",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070172213",
"telephone_number": "973-675-1900",
"fax_number": "973-266-7894"
}
],
"practiceLocations": [
{
"address_1": "741 Broadway",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "071044309",
"country_code": "US",
"telephone_number": "973-675-1900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1150 Springfield Ave",
"address_purpose": "LOCATION",
"city": "Irvington",
"state": "NJ",
"postal_code": "071112441",
"country_code": "US",
"telephone_number": "973-675-1900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDOUARD -JOSEPH",
"first_name": "SHERLY",
"credential": "COMMUNITY DOULA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.