Active NPI
Chantal Berry, CNM
- Advanced Practice Midwife
- Maplewood, NJ
National Provider Identifier
1346593134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME000521000
- Practice address
- 27 Van Ness Ter
Maplewood, NJ 07040-3324 - Phone
- (732) 670-4109
- NPI assigned
- Oct 18, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME000521000 | NJ | Primary |
Addresses
Primary practice location
27 Van Ness Ter
Maplewood, NJ 07040-3324
Mailing address
27 Van Ness Ter
Maplewood, NJ 07040-3324
Phone (732) 670-4109
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 |
|---|---|---|---|
| 25ME000521000 | NJ | MD | Advanced Practice Midwife |
Interoperability endpoints
- chantel.berry.1@3830.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350518400000",
"number": "1346593134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 VAN NESS TER",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403324",
"telephone_number": "732-670-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 VAN NESS TER",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070403324",
"telephone_number": "732-670-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "CHANTAL",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-18",
"last_updated": "2012-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME000521000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.