Healthcare Provider Details

I. General information

NPI: 1326965955
Provider Name (Legal Business Name): NORTH JERSEY DOULAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MOLTER PL
BLOOMFIELD NJ
07003-4739
US

IV. Provider business mailing address

22 MOLTER PL
BLOOMFIELD NJ
07003-4739
US

V. Phone/Fax

Practice location:
  • Phone: 862-485-5111
  • Fax: 862-485-5111
Mailing address:
  • Phone: 862-485-5111
  • Fax: 862-485-5111

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLEY A NAZARIAN
Title or Position: OWNER
Credential: CED-PIC, C-IFS, C-AP
Phone: 862-485-5111