Individual provider Active NPI

Pietra Dunmore, CT

  • Specialist
  • Haddon Township, NJ
National Provider Identifier
1427797489
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32WG03596400 Issued in NJ
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

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
32WG03596400NJMDSpecialist

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.

Verify at the official NPI Registry.