Susanrachel Balber-Condon, CNM NP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

F000822 Issued in NY

Practice address

2731 Route 44 55
Gardiner, NY 12525-5123

Phone

(845) 256-5430

NPI assigned

Jan 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hudson Valley Midwifery P.C.

  • Advanced Practice Midwife
  • New Paltz, NY
  • NPI 1245613454
  Authorized official Same address or phone

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669527644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 ROUTE 44 55",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255123",
            "telephone_number": "845-256-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 ROUTE 44 55",
            "city": "GARDINER",
            "state": "NY",
            "postal_code": "125255123",
            "telephone_number": "845-256-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALBER-CONDON",
        "first_name": "SUSANRACHEL",
        "name_prefix": "Ms.",
        "credential": "CNM NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NY",
            "license": "F000822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abilities in Bloom, Inc.
• Courtney Meredith Beaupre, LMHC
• Michael Louis Brill, MHC-LP
• Miriah Brustein
• Care Transitions Case Management Services Inc
• Joy E. Carlock, M.S.,CCC-SLP

• Advanced Practice Midwife in Gardiner, NY
• Providers in Gardiner, 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 Jul 8, 2007; 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.