Healthcare Provider Details

I. General information

NPI: 1619102985
Provider Name (Legal Business Name): SIVAN VEKSLER CNM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2009
Last Update Date: 02/21/2025
Certification Date: 02/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 BELLEVUE AVE FL 3
TRENTON NJ
08618-4514
US

IV. Provider business mailing address

433 BELLEVUE AVE FL 3
TRENTON NJ
08618-4514
US

V. Phone/Fax

Practice location:
  • Phone: 609-394-4111
  • Fax:
Mailing address:
  • Phone: 609-394-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberMW010192
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number25ME00048001
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: