Active NPI
Michelle L. Liddy, APRN, CNM
- Advanced Practice Midwife
- Manasquan, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00029900
- Practice address
- 2671 Highway 70
Manasquan, NJ 08736-2605 - Phone
- (732) 528-6999
- Fax
- (732) 528-3397
- NPI assigned
- Sep 27, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APRN9483866 | FL | |
| Advanced Practice Midwife | 367A00000X | APRN9483866 | FL | |
| Advanced Practice Midwife | 367A00000X | 25ME00029900 | NJ | Primary |
Addresses
Primary practice location
2671 Highway 70
Manasquan, NJ 08736-2605
Mailing address
330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229
Other practice location 1
330 E Hibiscus Blvd
Melbourne, FL 32901-3155
Phone (321) 724-2229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Prospect Ave
Hackensack, NJ 07601-1997
Phone (551) 996-5045
Hospital & facility affiliations
- Ocean Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.33 of 100
- Quality
- 66.38
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.39
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9483866 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current | Accepting new patients | |
| Hackensack Meridian Health Medical Group - Complex Care PC | Past | Accepting new patients |
Locations
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816
117 E County Line Rd
Lakewood, NJ 08701
Phone (732) 942-1900
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHJHBD
Organizations & group practices 3
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.
-
- Surgical Critical Care Physician
- Red Bank, NJ
- NPI 1215989249
-
- Durable Medical Equipment & Medical Supplies
- North Bergen, NJ
- NPI 1215734199
-
- Internal Medicine Physician
- Red Bank, NJ
- NPI 1154379626
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brick, NJ
- NPI 1477065126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1487745345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 E HIBISCUS BLVD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013155",
"telephone_number": "321-724-2229",
"fax_number": "321-728-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671 HIGHWAY 70",
"city": "MANASQUAN",
"state": "NJ",
"postal_code": "087362605",
"telephone_number": "732-528-6999",
"fax_number": "732-528-3397"
}
],
"practiceLocations": [
{
"address_1": "330 E Hibiscus Blvd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013155",
"country_code": "US",
"telephone_number": "321-724-2229",
"fax_number": "321-728-6681",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDDY",
"first_name": "MICHELLE",
"middle_name": "L.",
"credential": "APRN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9483866",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "APRN9483866",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00029900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manasquan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.