Healthcare Provider Details

I. General information

NPI: 1518771583
Provider Name (Legal Business Name): THE MILLENNIAL LACTATION CONSULTANT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2025
Last Update Date: 02/01/2025
Certification Date: 02/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2514 WEST ST APT 3B
UNION CITY NJ
07087-3988
US

IV. Provider business mailing address

2514 WEST ST APT 3B
UNION CITY NJ
07087-3988
US

V. Phone/Fax

Practice location:
  • Phone: 862-829-3392
  • Fax:
Mailing address:
  • Phone: 862-829-3392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163WP1700X
TaxonomyPerinatal Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: HAYAT ROSIJI
Title or Position: FOUNDER
Credential: RN-IBCLC
Phone: 862-829-3392