Congrats! I have Bad News and Good News. The Bad News first this way the Good News will cancel it out.
The Bad News:
If you can stick it out and stay with your current care providers, it would be worth it. I know the distance is a killer, but everyone will be afraid to touch you (malpractice mess) considering you're so far along.
The Good News:
I delivered a high risk pregancy at St. Joseph's Hospital in Paterson (a few exits off the Garden State Parkway), from Elmwood Park.
The City of Paterson gets a bad rap, however this hospital is a children's hospital and the staff is excellent. For example, one of the nurses thought that she had forgotten to instruct me how to breast feed. On her way home, to (Central Jersey)out of the blue she stopped by my house to check up on us. I just started crying! We tried to give her money, but she refused - Its been 4 years since this happened and I still get choked up.
I hear St. Barnabus Hospital in Livingston is a good hospital to deliver - not my personal experience, I've never stayed there.
About me: Married, 2 girls (10 and 4) First child at 38, second at 40.
Good luck!