YEKATERINA SPIVAK (NPI# 1376817742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376817742 |
| Entity Type | Individual |
| Full Name | YEKATERINA SPIVAK |
| Credential | RPA-C, IBCLC |
| Practice Address |
444 New Providence Rd Mountainside NJ 07092 |
| Mailing Address |
444 New Providence Rd Mountainside NJ 07092-1409 |
| Practice Telephone | 9737979790 |
| Mailing Telephone | 6464046591 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 25MP00342600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 0148861 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 174N00000X | Lactation Consultant, Non-RN | L56767 | NY | Other Service Providers |
| Street Address |
444 NEW PROVIDENCE RD |
| City | MOUNTAINSIDE |
| State | NJ |
| Zip Code | 07092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306222179 | Welcome Baby 247 | Lactation Consultant, Non-RN | 444 New Providence Rd, Mountainside, NJ 07092-1409 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1497177273 | Mumta Hathiramani | Dentist | 1122 Route 22 Ste 104, Mountainside, NJ 07092 | 2014-01-13 |
| 1578837225 | Barbara I Reuven | Physical Therapist | 1111 Us Highway 22 East, Mountainside, NJ 07092 | 2012-02-28 |
| 1629350434 | Cooperative Counseling Services, LLC | Clinic/Center | 1139 Spruce Drive, Suite 2, Mountainside, NJ 07092 | 2011-09-16 |
| 1912207325 | Leslie Ann Eckenthal | Speech-Language Pathologist | 1607 Rising Way, Westfield, NJ 07092 | 2010-11-01 |
| 1598080806 | Darshana Patel | Pharmacist | 200 Sheffield, 103, Mountainside, NJ 07092 | 2010-03-30 |
| 1770807497 | Goda Devi Chari | Pharmacist | 200 Sheffield St., Ste.103, Mountainside, NJ 07092 | 2010-03-24 |
| 1982830485 | Arthur J. Matthews | Otolaryngology | 1060 Saddlebrook Rd., Mountainside, NJ 07092 | 2009-06-10 |
| 1285889105 | Charles Edward Dooley Jr | Internal Medicine | 560 Springfield Avenue, Westfield, NJ 07092 | 2008-11-19 |
| 1316159577 | Brent David Reitz | Physical Therapist | 150 New Providence Road, Mountainside, NJ 07092 | 2007-05-03 |
| Find all providers in zip 07092 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306222179 | Welcome Baby 247 | Lactation Consultant, Non-RN | 444 New Providence Rd, Mountainside, NJ 07092-1409 | 2015-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154937399 | Jade Morrison- Newkirk | Lactation Consultant, Non-RN | 33 Fairfield Rd, Clifton, NJ 07013-3945 | 2020-09-22 |
| 1639785215 | Melanie Ada Hutton | Lactation Consultant, Non-RN | 145 S Arlington Ave Apt D, East Orange, NJ 07018-2901 | 2020-09-19 |
| 1457969412 | The Lactation Place, LLC | Lactation Consultant, Non-RN | 510 40th St Apt 2c, Union City, NJ 07087-2628 | 2020-07-16 |
| 1033736889 | Danice Miranda | Lactation Consultant, Non-RN | 44 Columbine Rd, Paramus, NJ 07652-2145 | 2020-06-28 |
| 1720608755 | Sarah Marie Hogan | Lactation Consultant, Non-RN | 201 Loetscher Pl Apt 117, Princeton, NJ 08540-5960 | 2020-04-20 |
| 1720627821 | Amy Leavy | Lactation Consultant, Non-RN | 733 Highview Dr, Wyckoff, NJ 07481-1020 | 2020-01-06 |
| 1649819822 | Hey Mama Lactation and Perinatal Care | Lactation Consultant, Non-RN | 38 Lincoln Dr, Laurel Springs, NJ 08021-2856 | 2020-01-05 |
| 1255970711 | Karen Borja | Lactation Consultant, Non-RN | 209 Union Ave, Neptune, NJ 07753-4955 | 2020-01-02 |
| 1013554732 | Keren Talmor | Lactation Consultant, Non-RN | 67 Harrington Ave, Closter, NJ 07624-1105 | 2019-12-01 |
| 1265077705 | Milli Schaeffer | Lactation Consultant, Non-RN | 7 Norwood Ct, Medford, NJ 08055-9333 | 2019-11-07 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAINSIDE |
| Zip Code | 07092 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.