Dwayne J Pierce Sr.

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP06489100 Issued in NJ

Practice address

505 W Black Horse Pike
Pleasantville, NJ 08232-2663

Phone

(609) 641-9356

NPI assigned

Jul 29, 2021

Last updated

Jul 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1225701725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ACORN DR",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083324702",
            "telephone_number": "856-575-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082322663",
            "telephone_number": "609-641-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DWAYNE",
        "middle_name": "J",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06489100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivam A Parikh, PHARMD
• Paul H. Goodman, D.D.S. and Jay L. Rosenberg, D.D.S., L.L.C.
• Charles Keeler Paxson, DMD
• Byrde Pettigrew, D.M.D
• Phoenix Recovery House (Phoenix Recovery)
• Pleasant Care Pharmacy Inc
• Pleasantech Academy Charter School
• Pleasantville Board of Education
• Pleasantville Dental, LLC
• Pleasantville Operating LLC

• Licensed Practical Nurse in Pleasantville, NJ
• Providers in Pleasantville, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.