Individual provider Active NPI

Elizabeth R. Clarkson, CNM

  • Advanced Practice Midwife
  • Pennington, NJ
National Provider Identifier
1770008534
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00063001 Issued in NJ
Practice address
2 Tree Farm Rd
Suite A110
Pennington, NJ 08534
Phone
(609) 737-7512
Fax
(609) 737-0978
NPI assigned
Aug 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00063001 NJ Primary
Registered Nurse 163W00000X 26NR16866900 NJ
Advanced Practice Midwife 367A00000X

Addresses

Primary practice location

2 Tree Farm Rd
Suite A110
Pennington, NJ 08534

Mailing address

758 River Rd
Ewing, NJ 08628-3303
Phone (914) 471-7433

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
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
26NR16866900NJMDRegistered Nurse
25ME00063001NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Midwifery Care Associates CurrentSince Nov 28, 2021 Accepting new patients

Locations

2 Tree Farm Rd
Ste A110
Pennington, NJ 08534
Phone (609) 737-7512

2490 Pennington Rd
Ste 204
Pennington, NJ 08534
Phone (609) 737-7512

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1502582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1770008534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 RIVER RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283303",
            "telephone_number": "914-471-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD",
            "address_2": "SUITE A110",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "08534",
            "telephone_number": "609-737-7512",
            "fax_number": "609-737-0978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKSON",
        "first_name": "ELIZABETH",
        "middle_name": "R.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-13",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00063001",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR16866900",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.