Healthcare Provider Details

I. General information

NPI: 1033930623
Provider Name (Legal Business Name): ELISE MARIE CORASANITI WHNP-BC, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 SYCAMORE AVE STE 2A
LITTLE SILVER NJ
07739-1248
US

IV. Provider business mailing address

7 HILLSIDE RD
CHATHAM NJ
07928-1106
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-9310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00088301
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00088301
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number26NJ15166600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: