Carolyn M Slattery, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F001325-1 Issued in NY

Practice address

5610 2ND Ave
Brooklyn, NY 11220-3599

Phone

(718) 630-7241

Fax

(718) 630-6878

NPI assigned

Mar 4, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Certified Nurse Midwife (CNM)

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakewood Resource and Referral Center IncGroup PAC ID 6901981497, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Lakewood Resource and Referral Center Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1083748297
  Medicare reassignment Care Compare group NPD
• Monmouth Family Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1962841502
  Medicare reassignment NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Asbury Park, NJ
  • NPI 1841240561
  Medicare reassignment NPD
• Lakewood Resource and Referral Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, NJ
  • NPI 1124844816
  NPD
• Monmouth Family Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1790974996
  NPD
• Monmouth Family Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Long Branch, NJ
  • NPI 1669791869
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Federally Qualified Health Center (FQHC)
  • Keyport, NJ
  • NPI 1003867250
  NPD
• Visiting Nurse Association of Central Jersey Community Health Center I

  • Community/Retail Pharmacy
  • Asbury Park, NJ
  • NPI 1205621018
  NPD
• MMC OB/GYN Hospital

  • Specialist
  • Brooklyn, NY
  • NPI 1679570766
  NPD (past)
• NYU Lutheran Medical Center

  • General Acute Care Hospital
  • Brooklyn, NY
  • NPI 1538111653
  NPD (past)

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1629218664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599",
            "telephone_number": "718-630-7241",
            "fax_number": "718-630-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 2ND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203599",
            "telephone_number": "718-630-7241",
            "fax_number": "718-630-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATTERY",
        "first_name": "CAROLYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-04",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "588044-1",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F001325-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Ashley Slater, MHC-LP
• Stuart Slater
• Susan Jean Slater, OTR
• Richard Slatkin, MD
• Alana Brooke Slatky, CCC-SLP
• Donna Marie Slattery, PA-C
• Tara Marie Slattery
• Jessica K Slatus, LCSW
• April Lynn Slavens
• Inessa Slavin, D.D.S.

• Advanced Practice Midwife in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Advanced Practice Midwife in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.

Verify at the official NPI Registry.