Individual provider Active NPI

Carolyn Havens Niemann, CNM

  • Midwife
  • Lakewood, NJ
National Provider Identifier
1548489289
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
25ME00044201 Issued in NJ
Practice address
1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894
Phone
(732) 994-4242
Fax
(732) 363-5164
NPI assigned
Apr 24, 2007
Last updated
Jun 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 25ME00044200 NJ
Midwife 176B00000X 25ME00044201 NJ Primary

Addresses

Primary practice location

1382 Lanes Mill Rd Ste 201
Lakewood, NJ 08701-3894

Mailing address

1973 Springfield Ave
Maplewood, NJ 07040-3435
Phone (973) 996-2600

Other practice location 1

1973 Springfield Ave
Maplewood, NJ 07040-3435
Phone (973) 996-2600

Other practice location 2

456 Chestnut St Unit 303
Lakewood, NJ 08701-6124
Phone (732) 994-4242

Other identifiers 1

IdentifierTypeStateIssuer
0139394MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150219001321 NJ Practitioner - Certified Nurse Midwife (CNM) 8527383397 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 13, 2025 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jun 13, 2025 Accepting new patients
Tru OBGYN & Birth Center LLC CurrentSince Jan 1, 2024 Accepting new patients
Metropolitan OB/GYN, P.a. CurrentSince Oct 6, 2025 Accepting new patients
Lifeline Medical Associates, LLC CurrentSince Jan 25, 2022 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Past Accepting new patients
Tru OBGYN & Birth Center LLC Past Accepting new patients

Locations

16 Pocono Rd
Frnt
Denville, NJ 07834
Phone (973) 784-3935

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

1382 Lanes Mill Rd
Ste 201
Lakewood, NJ 08701
Phone (732) 994-4242

456 Chestnut St
Unit 303
Lakewood, NJ 08701
Phone (732) 994-4242

2 Princess Rd
Ste C
Lawrenceville, NJ 08648
Phone (609) 896-0777

1973 Springfield Ave
Maplewood, NJ 07040
Phone (973) 313-2501

111 Madison Ave
Ste 308
Morristown, NJ 07960
Phone (973) 267-8266

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

Interoperability endpoints

  • Direct secure messaging: carolyn.niemann.1@10520.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/10520/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1548489289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1973 SPRINGFIELD AVE",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "070403435",
            "telephone_number": "973-996-2600",
            "fax_number": "973-996-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 LANES MILL RD STE 201",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087013894",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1973 Springfield Ave",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "NJ",
            "postal_code": "070403435",
            "country_code": "US",
            "telephone_number": "973-996-2600",
            "fax_number": "973-996-2601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "456 Chestnut St Unit 303",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "NJ",
            "postal_code": "087016124",
            "country_code": "US",
            "telephone_number": "732-994-4242",
            "fax_number": "732-363-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMANN",
        "first_name": "CAROLYN",
        "middle_name": "HAVENS",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00044200",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NJ",
            "license": "25ME00044201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139394",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

Verify at the official NPI Registry.