Dormdoc, LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

DORMDOC, LLC

Practice address

212 Glen Ave
Glen Rock, NJ 07452-2216

Phone

(917) 843-4361

NPI assigned

Dec 6, 2021

Last updated

Dec 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Erin Leonard, DNP, PNP-BC

Title

Owner

Phone

(917) 843-4361

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1184382244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 GLEN AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 GLEN AVE",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522216",
            "telephone_number": "917-843-4361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORMDOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-843-4361",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Delguercio
• Dermatology Associates of Glen Rock, P.a.
• Vicky Dias-Nunes
• Maria Dibenedetto, LAC
• Shaynna Nicole Digiovanni, PHD
• Jonathan S. Dosik, M.D.
• Dr. Michael C. Stewart, PC
• Ana Dumic, MSW, LCSW
• Nina Anne Dunn, PT, DPT
• Robert W. Egermayer, P.T.

• Pediatric Nurse Practitioner in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.