Active NPI
Ellen B. Maughan, IBCLC
- Lactation Consultant (Non-RN)
- Highland Park, NJ
National Provider Identifier
1629273883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- Practice address
- 240 Wayne St
Highland Park, NJ 08904-2428 - Phone
- (732) 249-3096
- Fax
- (732) 249-3096
- NPI assigned
- Jun 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | Primary |
Addresses
Primary practice location
240 Wayne St
Highland Park, NJ 08904-2428
Mailing address
240 Wayne St
Highland Park, NJ 08904-2428
Phone (732) 249-3096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1629273883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 WAYNE ST",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042428",
"telephone_number": "732-249-3096",
"fax_number": "732-249-3096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 WAYNE ST",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089042428",
"telephone_number": "732-249-3096",
"fax_number": "732-249-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAUGHAN",
"first_name": "ELLEN",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-18",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.