MRS. EMILY MARIANNE SULLIVAN CLC
NPI 1053788554
Lactation Consultant, Non-RN in Westwood, NJ

Active since August 31, 2015
636 LINCOLN BLVD, WESTWOOD, NJ 07675(551) 404-4854 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Lactation Consultant, Non-RN

About EMILY SULLIVAN

This page provides the complete NPI Profile along with additional information for Emily Sullivan, a provider established in Westwood, New Jersey with a medical specialization in Lactation Consultant, Non-rn. The healthcare provider is registered in the NPI registry with number 1053788554 assigned on August 2015. The practitioner's primary taxonomy code is 174N00000X with license number 225649 (NJ). The provider is registered as an individual and her NPI record was last updated 11 years ago.

NPI
1053788554 Verify this NPI
Provider Name
MRS. EMILY MARIANNE SULLIVAN CLC
Gender
Female
Entity Type
Individual
Location Address
636 LINCOLN BLVD WESTWOOD, NJ 07675
Location Phone
(551) 404-4854
Mailing Address
636 LINCOLN BLVD WESTWOOD, NJ 07675
Mailing Phone
(551) 404-4854
Is Sole Proprietor?
Yes
Enumeration Date
08-31-2015
Last Update Date
08-31-2015
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Lactation Consultant, Non-RN

Taxonomy Code
174N00000X
Type
Other Service Providers
License No.
225649
License State
NJ
Taxonomy Description
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.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053788554, enumerated as an "individual" on August 31, 2015.

The provider is located at 636 LINCOLN BLVD WESTWOOD, NJ 07675 and the phone number is (551) 404-4854.

Lactation Consultant, Non-RN with taxonomy code 174N00000X.