Individual provider Active NPI

Eden Bertrang, IBCLC, CCCE, CD

  • Lactation Consultant (Non-RN)
  • Brooklyn, NY
National Provider Identifier
1770036766
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
661 41St St
Apt 3C
Brooklyn, NY 11232-3171
Phone
(917) 648-9581
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

661 41St St
Apt 3C
Brooklyn, NY 11232-3171

Mailing address

661 41St St
Apt 3C
Brooklyn, NY 11232-3171
Phone (917) 648-9581

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469491200000",
    "number": "1770036766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 41ST ST",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323171",
            "telephone_number": "917-648-9581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 41ST ST",
            "address_2": "APT 3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112323171",
            "telephone_number": "917-648-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTRANG",
        "first_name": "EDEN",
        "name_prefix": "Ms.",
        "credential": "IBCLC, CCCE, CD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.