Organization Active NPI

Collective Midwifery Care LLC

  • Midwife
  • Boonton, NJ
National Provider Identifier
1871239822
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
Legal business name
COLLECTIVE MIDWIFERY CARE LLC
Practice address
408 Main St Ste 401a
Boonton, NJ 07005-1732
Phone
(201) 230-4464
Fax
(866) 715-8797
NPI assigned
May 11, 2022
Last updated
May 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mrs. Kasey Divine, CNMNPI 1700131943
Title
Midwife, Partner
Phone
(201) 230-4464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X Primary

Addresses

Primary practice location

408 Main St Ste 401a
Boonton, NJ 07005-1732

Mailing address

408 Main St Ste 401a
Boonton, NJ 07005-1732

Other identifiers 2

IdentifierTypeStateIssuer
25MW00003700OtherNJOFFICE OF CONSUMER AFFAIRS
25ME00075701OtherNJBOARD OF MEDICAL EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.clientcarecent.net Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

408 Main St
Ste 401A
Boonton, NJ 07005
Phone (201) 230-4464

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1871239822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 MAIN ST STE 401A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051732",
            "fax_number": "866-715-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST STE 401A",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051732",
            "telephone_number": "201-230-4464",
            "fax_number": "866-715-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLECTIVE MIDWIFERY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "DIVINE",
        "authorized_official_first_name": "KASEY",
        "authorized_official_title_or_position": "MIDWIFE, PARTNER",
        "authorized_official_telephone_number": "201-230-4464",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF CONSUMER AFFAIRS",
            "identifier": "25MW00003700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF MEDICAL EXAMINERS",
            "identifier": "25ME00075701",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.clientcarecent.net",
            "affiliation": "N",
            "endpointDescription": "SECURE MESSAGING THROUGH CLIENT CARE EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CLIENT CARE",
            "address_1": "408 Main St Ste 401A",
            "city": "Boonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070051732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.