Healthcare Provider Details

I. General information

NPI: 1407771579
Provider Name (Legal Business Name): FEED YOUR BABY LOVE YOUR BABY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 FAIRVIEW DR S
BASKING RIDGE NJ
07920-2326
US

IV. Provider business mailing address

105 FAIRVIEW DR S
BASKING RIDGE NJ
07920-2326
US

V. Phone/Fax

Practice location:
  • Phone: 908-334-1936
  • Fax:
Mailing address:
  • Phone: 908-334-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA ANNE CUCOLO
Title or Position: LACTATION CONSULTANT/EDUCATION
Credential: MD, IBCLC
Phone: 908-334-1936