Individual provider Active NPI

Dawn Ann Mormando

  • Advanced Practice Midwife
  • Lawrenceville, NJ
National Provider Identifier
1184388050
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00076600 Issued in NJ
Practice address
2 Princess Rd Ste C
Lawrenceville, NJ 08648-2320
Phone
(609) 896-0777
NPI assigned
Oct 27, 2021
Last updated
Oct 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00076600 NJ Primary

Addresses

Primary practice location

2 Princess Rd Ste C
Lawrenceville, NJ 08648-2320

Mailing address

124 Blooming Glen Rd
Perkasie, PA 18944-2360
Phone (267) 463-6489

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002490 PA Practitioner - Certified Nurse Midwife (CNM) 2062859713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Spruce St
1 West Gates Helen O. Dickens Center of Wom
Philadelphia, PA 19104-4206
Phone (215) 662-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
25ME00076600NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
Delaware Valley OB-GYN and Infertility Group PC CurrentSince Oct 31, 2021 Accepting new patients
University of Penn - Medical Group CurrentSince Feb 4, 2024 Accepting new patients
Lifeline Medical Associates, LLC CurrentSince Oct 31, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Feb 4, 2024 Accepting new patients
University of Penn - Medical Group Past Accepting new patients

Locations

2 Princess Rd
Ste C
Lawrenceville, NJ 08648
Phone (609) 896-0777

3400 Spruce St
#1W
Philadelphia, PA 19104
Phone (215) 662-2730

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635292800000",
    "number": "1184388050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 BLOOMING GLEN RD",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189442360",
            "telephone_number": "267-463-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PRINCESS RD STE C",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482320",
            "telephone_number": "609-896-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORMANDO",
        "first_name": "DAWN",
        "middle_name": "ANN",
        "name_prefix": "Prof.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00076600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

Verify at the official NPI Registry.