Healthcare Provider Details

I. General information

NPI: 1629912068
Provider Name (Legal Business Name): LOUISIANE JOSEPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 RIDGE AVE
NORTH PLAINFIELD NJ
07060-3614
US

IV. Provider business mailing address

98 RIDGE AVE
NORTH PLAINFIELD NJ
07060-3614
US

V. Phone/Fax

Practice location:
  • Phone: 718-802-8833
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number25ME00095200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: