Julie Beth Cardonick, IBCLC, CD (DONA)

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

107-26311 Issued in NJ

Practice address

991 Richard CT
Teaneck, NJ 07666-5511

Phone

(201) 837-5910

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Julie Cardonick Rosen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1649556903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 RICHARD CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665511",
            "telephone_number": "201-837-5910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 RICHARD CT",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665511",
            "telephone_number": "201-837-5910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONICK",
        "first_name": "JULIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CD (DONA)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "NJ",
            "license": "107-26311",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ROSEN",
            "middle_name": "CARDONICK",
            "prefix": "MS.",
            "credential": "IBCLC, CD (DONA)",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Lactation Consultant (Non-RN) in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Lactation Consultant (Non-RN) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.