Healthcare Provider Details

I. General information

NPI: 1932616091
Provider Name (Legal Business Name): ANGELA MCDOWELL APN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA DICKSON-MCDOWELL

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 08/11/2025
Certification Date: 08/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CLARA MAASS DR
BELLEVILLE NJ
07109-3550
US

IV. Provider business mailing address

155 WESTERVELT AVE
NORTH HALEDON NJ
07508-3074
US

V. Phone/Fax

Practice location:
  • Phone: 201-659-7700
  • Fax:
Mailing address:
  • Phone: 973-296-1089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number25ME0060601
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number26NJ00795200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00060601
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: