Individual provider Active NPI

Johanna P Delongaig, CNM

  • Advanced Practice Midwife
  • Sarasota, FL
National Provider Identifier
1255453205
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
9430582 Issued in FL
Practice address
1950 Arlington St
Suite 203
Sarasota, FL 34239-3507
Phone
(941) 379-6331
Fax
(941) 379-5642
NPI assigned
Apr 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 9430582 FL Primary

Addresses

Primary practice location

1950 Arlington St
Suite 203
Sarasota, FL 34239-3507

Mailing address

1950 Arlington St
Suite 203
Sarasota, FL 34239-3507
Phone (941) 379-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9430582FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC CurrentSince May 25, 2013 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 1, 2014 Accepting new patients
Lakewood Resource and Referral Center Inc Current Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Oct 1, 2014 Accepting new patients
University Urogynecology Association, PC Past Accepting new patients
Hamilton OB GYN Associates PA Past Accepting new patients

Locations

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1255453205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-379-6331",
            "fax_number": "941-379-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 ARLINGTON ST",
            "address_2": "SUITE 203",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393507",
            "telephone_number": "941-379-6331",
            "fax_number": "941-379-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELONGAIG",
        "first_name": "JOHANNA",
        "middle_name": "P",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "9430582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.