Women'S Health Collaborative

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

25ME00056001 Issued in NJ

Legal business name

WOMEN'S HEALTH COLLABORATIVE

Practice address

716 Broad St
Clifton, NJ 07013-1645

Phone

(201) 567-0810

Fax

(973) 928-2912

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Dedra Sally, CNM, MSN

Title

Certified Nurse-Midwife

Phone

(215) 205-6758

Specialties & licenses 1

Addresses

Other names 1

• The Childbirth Center & Women's Wellness Center Doing business as

Tax ID family

The Childbirth Center Women'S Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Women'S Health Collaborative

  • Midwife
  • Clifton, NJ
  • NPI 1275831364
  NPD tax ID

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1437568193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "201-567-0810",
            "fax_number": "973-928-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 BROAD ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070131645",
            "telephone_number": "201-567-0810",
            "fax_number": "973-928-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "SALLY",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "CERTIFIED NURSE-MIDWIFE",
        "authorized_official_telephone_number": "215-205-6758",
        "authorized_official_credential": "CNM, MSN"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00056001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Childbirth Center & Women's Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert A Wisse, LSW
• Tania A Witek, LPC
• Margaret Wiwart Truszkowska, DDS
• Hal S Wolfson, DDS
• Women'S Health Collaborative
• Sylvana Wong, LPC
• Siu Man Woo
• Diana G Woods-Esser, LSW
• Robert P Wooton Jr., D.O.
• Michael S Wos, PHD

• Advanced Practice Midwife in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Advanced Practice Midwife in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.