Active NPI
Pietra Dunmore, CT
- Specialist
- Haddon Township, NJ
National Provider Identifier
1427797489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 32WG03596400
- Practice address
- 648 W Cuthbert Blvd # 107
Haddon Township, NJ 08108-3642 - Phone
- (609) 504-4379
- NPI assigned
- May 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 32WG03596400 | NJ | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
648 W Cuthbert Blvd # 107
Haddon Township, NJ 08108-3642
Mailing address
PO Box 824
Cherry Hill, NJ 08003-0824
Phone (609) 504-4379
Other practice location 1
350 Young Ave
Moorestown, NJ 08057-3145
Phone (856) 206-4744
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pdunmore@virtua.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32WG03596400 | NJ | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1427797489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 824",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080030824",
"telephone_number": "609-504-4379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "648 W CUTHBERT BLVD # 107",
"city": "HADDON TOWNSHIP",
"state": "NJ",
"postal_code": "081083642",
"telephone_number": "609-504-4379"
}
],
"practiceLocations": [
{
"address_1": "350 Young Ave",
"address_purpose": "LOCATION",
"city": "Moorestown",
"state": "NJ",
"postal_code": "080573145",
"country_code": "US",
"telephone_number": "856-206-4744",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNMORE",
"first_name": "PIETRA",
"name_prefix": "Ms.",
"credential": "CT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-28",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NJ",
"license": "32WG03596400",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pdunmore@virtua.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "350 Young Ave",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573145",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Haddon Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.