Annemarie Wilhelmina Van Der Molen, RN. IBCLC.

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

18133100 Issued in NJ

Practice address

65 W Jimmie Leeds Road
Pomona, NJ 08240

Phone

(609) 404-3837

NPI assigned

Dec 21, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1326634676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 SEA PINE DRIVE.",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-453-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W JIMMIE LEEDS ROAD",
            "city": "POMONA",
            "state": "NJ",
            "postal_code": "08240",
            "telephone_number": "609-404-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER MOLEN",
        "first_name": "ANNEMARIE",
        "middle_name": "WILHELMINA",
        "name_prefix": "Mrs.",
        "credential": "RN. IBCLC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "18133100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puja Trivedi, PHARM.D.
• Paras Chandrakant Udani, DO
• Jillian Ullo
• United States Coast Guard, Air Station Atlantic City
• Carl Anthony Vaccaro, D.O.
• Marilouise Venditti, MD
• Peter Anthony Venuti, PHARM D
• Cynthia D. Villasis, MD
• Kennara Vuong
• Jennifer Walters, PHARM.D.

• Lactation Consultant (Registered Nurse) in Pomona, NJ
• Providers in Pomona, NJ by specialty
• Lactation Consultant (Registered Nurse) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.