The Connie Dwyer Breast Center

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA07666200 Issued in NJ

Legal business name

THE CONNIE DWYER BREAST CENTER

Practice address

111 Central Ave
Newark, NJ 07102-1909

Phone

(973) 877-5189

Fax

(973) 877-5205

NPI assigned

Mar 1, 2007

Last updated

Sep 11, 2025By 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

Linda Harper

Title

Billing Representative

Phone

(201) 996-4053

Specialties & licenses 2

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Michelle Blackwood, MD

  • Surgery Physician
  • Livingston, NJ
  • NPI 1396839502
  NPD (past)
• Louis J Perl, MD

  • Diagnostic Radiology Physician
  • Newark, NJ
  • NPI 1255423885
  NPD (past)
• Abike Ogunrenike Durojaye, M.D.

  • Diagnostic Radiology Physician
  • Champaign, IL
  • NPI 1154459568
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1386772226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2047",
            "city": "SOUTH HACKENSACK",
            "state": "NJ",
            "postal_code": "076060647",
            "telephone_number": "201-968-9456",
            "fax_number": "201-336-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071021909",
            "telephone_number": "973-877-5189",
            "fax_number": "973-877-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CONNIE DWYER BREAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "201-996-4053"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA02784400",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07666200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Essex County, Inc.
• The Arc of Essex County, Inc.
• The Balanced Diet
• The Brazilian Dietitian, LLC
• The Center for Autism a NJ Nonprofit Corp
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Foundation of Praise
• The Good Samaritan Healthcare Services LLC
• The Hubb Arts & Trauma Center
• The Hubb Helps Inc

• Surgery Physician in Newark, NJ
• Providers in Newark, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.