Individual provider Active NPI

Jacqueline Linder, CNM

  • Advanced Practice Midwife
  • Summit, NJ
National Provider Identifier
1164900064
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00068601 Issued in NJ
Practice address
11 Overlook Rd Ste 210
Summit, NJ 07901-3580
Phone
(973) 821-9414
Fax
(973) 327-3767
NPI assigned
Aug 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00068601 NJ Primary

Addresses

Primary practice location

11 Overlook Rd Ste 210
Summit, NJ 07901-3580

Mailing address

PO Box 416457
Boston, MA 02241-6457
Phone (844) 362-1735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001128 NJ Practitioner - Certified Nurse Midwife (CNM) 8426309006 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

11 Overlook Rd
Summit, NJ 07901-3577
Phone (908) 273-1493

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001887NYMDArt Therapist
25ME00068601NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Barnabas Health Medical Group PC CurrentSince Apr 20, 2021 Accepting new patients
Regional Womens Health Group LLC Midwife CurrentSince Jan 31, 2022 Accepting new patients
Practice Associates Medical Group CurrentSince Mar 3, 2025 Accepting new patients
Michael Reens Certified Registered Nurse Anesthetist PC CurrentSince Nov 24, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Apr 20, 2021 Accepting new patients
Regional Women'S Health Group, LLC Midwife CurrentSince Jan 31, 2022 Accepting new patients

Locations

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

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

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

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

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

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

111 Madison Ave
Ste 305
Morristown, NJ 07960
Phone (973) 539-8199

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

25 Lindsley Dr
Ste 201A
Morristown, NJ 07960
Phone (973) 998-7922

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

25 Lindsley Dr
Ste 201
Morristown, NJ 07960
Phone (973) 828-8010

11 Overlook Rd
Ste 210
Summit, NJ 07901
Phone (973) 821-9414

11 Overlook Rd
Summit, NJ 07901
Phone (908) 273-1493

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

300 Old Country Rd
Ste 401
Mineola, NY 11501
Phone (516) 747-9232

Interoperability endpoints

  • Direct secure messaging: jlinder247039@direct.ahsys.org

Organizations & group practices 6

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": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1164900064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457",
            "telephone_number": "844-362-1735",
            "fax_number": "973-290-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OVERLOOK RD STE 210",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013580",
            "telephone_number": "973-821-9414",
            "fax_number": "973-327-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDER",
        "first_name": "JACQUELINE",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00068601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

Verify at the official NPI Registry.