Healthcare Provider Details

I. General information

NPI: 1215557954
Provider Name (Legal Business Name): NJ BIRTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2020
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 CEDAR LN REAR STE 102
TEANECK NJ
07666-1739
US

IV. Provider business mailing address

163 CARLTON TER
TEANECK NJ
07666-4618
US

V. Phone/Fax

Practice location:
  • Phone: 973-981-0248
  • Fax: 202-353-2589
Mailing address:
  • Phone: 973-981-0248
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. DAVID J BILDNER
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 973-981-0248