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General NPI Number Information
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NPI Number | 1689525644
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Entity Type | Organization
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Legal Business Name | SUPERMAMMA BIRTH SERVICES OF NJ
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 7000 JFK BLVD EAST
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City | GUTTENBERG
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State | NJ
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Zip | 07093
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Country | US
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Telephone | 201-701-1622
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Fax |
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Provider Business Mailing Address
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Address Line | 520 WHITE PLAINS RD STE 500
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City | TARRYTOWN
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State | NY
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Zip | 10591-5118
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Country | US
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Telephone | 201-701-1622
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE CHEN
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Credential | CNM
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Telephone | 201-701-1622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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