Active NPI
Ricki Ellen Gorman, CNM
- Advanced Practice Midwife
- Oradell, NJ
National Provider Identifier
1780888453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00020201
- Practice address
- 555 Kinderkamack Rd
Oradell, NJ 07649-1517 - Phone
- (201) 262-0075
- NPI assigned
- Jun 14, 2007
- Last updated
- Jul 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00020201 | NJ | Primary |
| Advanced Practice Midwife | 367A00000X | F000026-1 | NY |
Addresses
Primary practice location
555 Kinderkamack Rd
Oradell, NJ 07649-1517
Mailing address
175 Truman Dr
Cresskill, NJ 07626-1713
Phone (201) 739-0783
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00020201 | NJ | MD | Advanced Practice Midwife |
| F000026-1 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780888453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 TRUMAN DR",
"city": "CRESSKILL",
"state": "NJ",
"postal_code": "076261713",
"telephone_number": "201-739-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 KINDERKAMACK RD",
"city": "ORADELL",
"state": "NJ",
"postal_code": "076491517",
"telephone_number": "201-262-0075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORMAN",
"first_name": "RICKI ELLEN",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00020201",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "F000026-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oradell, NJ
Sources for this page
- 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.