Susan Wiedaseck, CNM
Advanced Practice Midwife in Newark, New Jersey
1720049406- Practice location
- 201 Lyons Ave, Newark, NJ 07107
- Phone
- 973-972-4249
- Fax
- —
- Last updated
- July 13, 2026
Susan Wiedaseck is an Advanced Practice Midwife based in Newark, NJ. Susan Wiedaseck practices in Newark, NJ and has the professional credentials of CNM. The NPI Number for Susan Wiedaseck is 1720049406 and holds a License No. 25ME00013401 (NJ). The current practice location address for Susan Wiedaseck is 201 Lyons Ave, Newark, NJ 07107 and can be reached out via phone at 973-972-4249.
Provider Profile Details
- NPI Number
- 1720049406
- Provider Name
- Susan Wiedaseck
- Credential
- CNM
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 201 Lyons Ave, Newark, NJ 07107
- Phone Number
- 973-972-4249
- Primary Taxonomy
- Advanced Practice Midwife · 367A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 201 Lyons Ave
Newark, NJ 07107 - City
- Newark
- State
- New Jersey
- Zip
- 07107
- Phone Number
- 973-972-4249
Provider Business Mailing Address Details
- Address
- Po Box 640
Belleville, NJ 07109 - City
- Belleville
- State
- NJ
- Zip
- 07109
- Phone Number
- 973-759-8700
- Fax Number
- 973-759-7545
License Information
- License Number
- 25ME00013401
- License State
- NJ
- Taxonomy
- Advanced Practice Midwife · 367A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Advanced Practice Midwives near Newark, NJ
View all Advanced Practice Midwives in Newark →- Allison Sander, CNMAdvanced Practice Midwife · NPI 1235516428
- Chermir M Henderson, CNMAdvanced Practice Midwife · NPI 1376813105
- Donna Mangione, CNMAdvanced Practice Midwife · NPI 1215998984
- Dr. Naja J Damallie, DNP, CNM, WHNP-BCAdvanced Practice Midwife · NPI 1912781253
- Dr. Raquel Reyes, DNP, WHNP, CNMAdvanced Practice Midwife · NPI 1083340202
- Elaine K Diegmann, CNMAdvanced Practice Midwife · NPI 1407817166
Frequently Asked Questions
What is the NPI number of Susan Wiedaseck, CNM?
The NPI number of Susan Wiedaseck, CNM is 1720049406. It was assigned on March 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Susan Wiedaseck, CNM?
Susan Wiedaseck, CNM is registered under the primary taxonomy Advanced Practice Midwife (code 367A00000X), licensed in NJ under license number 25ME00013401.
Where does Susan Wiedaseck, CNM practice?
The practice location is 201 Lyons Ave, Newark, NJ 07107. The office can be reached at 973-972-4249 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720049406 directly on the NPPES registry website.