Healthcare Provider Details

I. General information

NPI: 1871213413
Provider Name (Legal Business Name): NEYDIN MARQUIS RIVERA CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2022
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 ENGLISH CREEK AVE STE 1000
EGG HARBOR TOWNSHIP NJ
08234-5508
US

IV. Provider business mailing address

4011 TREMONT AVE
EGG HARBOR TOWNSHIP NJ
08234-9421
US

V. Phone/Fax

Practice location:
  • Phone: 609-677-7211
  • Fax:
Mailing address:
  • Phone: 609-233-2695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00080101
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: