Individual provider Active NPI

Dorothy J Conway-Quinn, DMD

  • Dentist
  • Cherry Hill, NJ
National Provider Identifier
1063590339
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D117741 Issued in NJ
Practice address
1500 N Kings Highway Ste 100a
Cherry Hill, NJ 08034-2304
Phone
(856) 795-0900
Fax
(856) 795-0994
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D117741 NJ Primary

Addresses

Primary practice location

1500 N Kings Highway Ste 100a
Cherry Hill, NJ 08034-2304

Mailing address

1500 N Kings Highway Ste 100a
Cherry Hill, NJ 08034-2304
Phone (856) 795-0900

Other identifiers 1

IdentifierTypeStateIssuer
582306OtherUNITED CONCORDIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206001463 NJ Order and Referring Only - DentistPractitioner - Dentist 0941512008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D117741NJMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Conway & Sardina LLC Dentist Past Accepting new patients
Dr Olena DMD LLC PastSince Aug 27, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063590339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N KINGS HIGHWAY STE 100A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-795-0900",
            "fax_number": "856-795-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N KINGS HIGHWAY STE 100A",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342304",
            "telephone_number": "856-795-0900",
            "fax_number": "856-795-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY-QUINN",
        "first_name": "DOROTHY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "D117741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "582306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.