Organization Active NPI

Supporting Our Mothers Initiative

  • Lactation Consultant (Non-RN)
  • Jamaica, NY
National Provider Identifier
1558021394
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Legal business name
SUPPORTING OUR MOTHERS INITIATIVE
Practice address
17719 120TH Ave
Jamaica, NY 11434-1929
Phone
(347) 692-0488
NPI assigned
Dec 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Authorized official

Name
Charline Ogbeni, IBCLCNPI 1962090373
Title
Owner
Phone
(347) 692-0488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X Primary
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X

Addresses

Primary practice location

17719 120TH Ave
Jamaica, NY 11434-1929

Mailing address

17719 120TH Ave
Jamaica, NY 11434-1929
Phone (347) 692-0488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1558021394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17719 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341929",
            "telephone_number": "347-692-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17719 120TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341929",
            "telephone_number": "347-692-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTING OUR MOTHERS INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A",
        "authorized_official_last_name": "OGBENI",
        "authorized_official_first_name": "CHARLINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-692-0488",
        "authorized_official_credential": "IBCLC"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.