Active NPI
Supporting Our Mothers Initiative
- Lactation Consultant (Non-RN)
- Jamaica, NY
National Provider Identifier
1558021394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charline Ogbeni, IBCLC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | |||
| Lactation Consultant (Non-RN) | 174N00000X | Primary | ||
| Doula | 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 DirectoryPractitioners & 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.