Individual provider Active NPI

Donna Tabas, CNM

  • Midwife
  • Union City, NJ
National Provider Identifier
1194807354
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00041401 Issued in NJ
Practice address
3196 Kennedy Blvd
Box 10
Union City, NJ 07087-2436
Phone
(845) 639-3098
Fax
(845) 639-3159
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00041401 NJ Primary

Addresses

Primary practice location

3196 Kennedy Blvd
Box 10
Union City, NJ 07087-2436

Mailing address

13 Jodi LN
New City, NY 10956-2855
Phone (914) 980-0624

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00041401NJMDMidwife

Interoperability endpoints

  • Direct secure messaging: dtabas190281@ahs.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1194807354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 JODI LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109562855",
            "telephone_number": "914-980-0624",
            "fax_number": "845-639-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 KENNEDY BLVD",
            "address_2": "BOX 10",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070872436",
            "telephone_number": "845-639-3098",
            "fax_number": "845-639-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABAS",
        "first_name": "DONNA",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00041401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; 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.