Active NPI
Keith Darnell Dunn, CPRS-NJ
- Peer Specialist
- Mays Landing, NJ
National Provider Identifier
1457078693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPRS-50307
- Practice address
- 1409 Cantillon Blvd
Mays Landing, NJ 08330-2023 - Phone
- (609) 601-8611
- Fax
- (609) 601-8610
- NPI assigned
- Oct 27, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPRS-50307 | NJ | Primary |
Addresses
Primary practice location
1409 Cantillon Blvd
Mays Landing, NJ 08330-2023
Mailing address
1251 N Ohio Ave
Atlantic City, NJ 08401-1825
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 |
|---|---|---|---|
| CPRS-50307 | NJ | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ars of Somers Point, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Mays Landing, NJ
- NPI 1215098348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682640000000",
"number": "1457078693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 N OHIO AVE",
"city": "ATLANTIC CITY",
"state": "NJ",
"postal_code": "084011825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 CANTILLON BLVD",
"city": "MAYS LANDING",
"state": "NJ",
"postal_code": "083302023",
"telephone_number": "609-601-8611",
"fax_number": "609-601-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "KEITH",
"middle_name": "DARNELL",
"credential": "CPRS-NJ",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-10-27",
"last_updated": "2023-04-28",
"certification_date": "2023-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NJ",
"license": "CPRS-50307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mays Landing, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.