Active NPI
Charlotte McDermott Landeryou
- Advanced Practice Midwife
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00090101
- Practice address
- 2500 English Creek Ave Ste 1000
Egg Harbor Township, NJ 08234-5508 - Phone
- (609) 677-7211
- NPI assigned
- Apr 3, 2025
- Last updated
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00090101 | NJ | Primary |
Addresses
Primary practice location
2500 English Creek Ave Ste 1000
Egg Harbor Township, NJ 08234-5508
Mailing address
117 N 20TH St Apt 4
Philadelphia, PA 19103-1407
Phone (413) 687-4555
Other practice location 1
65 W Jimmie Leeds Rd
Pomona, NJ 08240-9102
Phone (609) 652-1000
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
331 Newman Springs Rd
Red Bank, NJ 07701-5688
PO Box
Suite 1309
Marlton, NJ 08053
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00090101 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Regional Medical Center | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc. | Current | Accepting new patients | |
| Southern Jersey Family Medical Centers, Inc | Current | Accepting new patients | |
| Atlanticare Regional Medical Center | Current | Accepting new patients |
Locations
1125 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-0066
860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
Organizations & group practices 4
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.
-
dba ARMC Faculty Practice
- Internal Medicine Physician
- Atlantic City, NJ
- NPI 1568663250
-
- Federally Qualified Health Center (FQHC)
- Hammonton, NJ
- NPI 1568473973
-
dba Atlanticare Commuity Pharmacy - Atlantic City
- Community/Retail Pharmacy
- Atlantic City, NJ
- NPI 1235677378
-
- Federally Qualified Health Center (FQHC)
- Atlantic City, NJ
- NPI 1285758318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1710781158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 N 20TH ST APT 4",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191031407",
"telephone_number": "413-687-4555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 ENGLISH CREEK AVE STE 1000",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082345508",
"telephone_number": "609-677-7211"
}
],
"practiceLocations": [
{
"address_1": "65 W Jimmie Leeds Rd",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "NJ",
"postal_code": "082409102",
"country_code": "US",
"telephone_number": "609-652-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANDERYOU",
"first_name": "CHARLOTTE",
"middle_name": "MCDERMOTT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00090101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.