Susan Wiedaseck, CNM - Advanced Practice Midwife in Newark, NJ

Susan Wiedaseck, CNM is a Advanced Practice Midwife based in Newark, New Jersey. Susan Wiedaseck is licensed to practice in New Jersey (license number 25ME00013401) and her current practice location is 201 Lyons Ave, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at (973) 972-4249.

NPI number for Susan Wiedaseck is 1720049406 and her current mailing address is Po Box 640, Belleville, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720049406.

Contact Information

Susan Wiedaseck, CNM
201 Lyons Ave,
Newark, NJ 07107
(973) 972-4249
Not Available



Provider's Profile

Full NameSusan Wiedaseck
GenderFemale
SpecialityAdvanced Practice Midwife
Location201 Lyons Ave, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720049406
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Susan Wiedaseck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720049406NPI-NPPES
2094207MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 25ME00013401 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Susan Wiedaseck is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Susan Wiedaseck, CNM
Po Box 640,
Belleville, NJ 07109

Ph: (973) 759-8700
Susan Wiedaseck, CNM
201 Lyons Ave,
Newark, NJ 07107

Ph: (973) 972-4249

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› Verified 5 days ago


Advanced Practice Midwife Nurses in Newark, NJ

Ginette Lange, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 201 Lyons Ave, Newark, NJ 07107
Phone: 973-972-4249    
Donna Mangione, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07107
Phone: 973-972-4249    
Allison Sander, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 201 Lyons Ave, Newark, NJ 07112
Phone: 973-926-7013    
Ruth Monchek, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 201 Lyons Ave, Newark, NJ 07107
Phone: 973-972-4249    
Mrs. Asunta Ann Beardsley, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 151 Washington St, Newark, NJ 07102
Phone: 973-622-3900    Fax: 973-622-1698
Chermir Monique Henderson, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 741 Broadway, Newark, NJ 07104
Phone: 973-483-1300    Fax: 973-483-3147
Elaine K Diegmann, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 65 Bergen St, Newark, NJ 07107
Phone: 973-972-4298    

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