Mama Glow LLC

Primary specialty

DoulaTaxonomy code 374J00000X

Legal business name

MAMA GLOW LLC

Practice address

379 W Broadway
New York, NY 10012-5121

Phone

(718) 510-4015

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Latham Thomas

Title

Founder

Phone

(718) 510-4015

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alanah Karla Wade

  • Doula
  • New York, NY
  • NPI 1437987518
  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1104601061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125121",
            "telephone_number": "718-510-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 W BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100125121",
            "telephone_number": "718-510-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA GLOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "LATHAM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "718-510-4015"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Anthony Malvone, PHARM.D.
• Christopher J Malynowski, PA
• Aleksandra Malz
• Gregory Malzberg
• Laurence Jay Malzberg, RPA-C
• Maia Mamamtavrishvili, M.D.
• Daniel Yaron Maman, M.D.
• Yair Maman, PHD DPSYCH
• Mimon Yehuda Mamane, LCSW
• Andrea Mamani, MSPT

• Doula in New York, NY
• Providers in New York, NY by specialty
• Doula in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.