Active NPI
Lucille A Fream, C.N.M.
- Lay Midwife
- Wayne, NJ
National Provider Identifier
1255344412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lay Midwife
- License
- ME00019501
- Practice address
- 1777 Hamburg Tpke
Suite 202
Wayne, NJ 07470-5211 - Phone
- (973) 831-1800
- Fax
- (973) 831-8820
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Lay Midwife | 175M00000X | ME00019501 | NJ | Primary |
Addresses
Primary practice location
1777 Hamburg Tpke
Suite 202
Wayne, NJ 07470-5211
Mailing address
1777 Hamburg Tpke
Suite 202
Wayne, NJ 07470-5211
Phone (973) 831-1800
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)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME00019501 | NJ | MD | Lay Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255344412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 202",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-831-1800",
"fax_number": "973-831-8820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 HAMBURG TPKE",
"address_2": "SUITE 202",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074705211",
"telephone_number": "973-831-1800",
"fax_number": "973-831-8820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREAM",
"first_name": "LUCILLE",
"middle_name": "A",
"credential": "C.N.M.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "175M00000X",
"taxonomy_group": "",
"desc": "Midwife, Lay",
"state": "NJ",
"license": "ME00019501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.