Individual provider Active NPI

Dawn Amoruso, M.D

  • Pediatrics Physician
  • Jersy City, NJ
National Provider Identifier
1477842102
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
269904 Issued in NY
Practice address
21 McWilliams Place
Tribeca Pediatrics
Jersy City, NJ 07302
Phone
(212) 226-7666
Fax
(212) 202-7988
NPI assigned
Apr 4, 2011
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 269904 NY Primary

Addresses

Primary practice location

21 McWilliams Place
Tribeca Pediatrics
Jersy City, NJ 07302

Mailing address

11 Park Place, Suite 1200
Tribeca Pediatrics
New York, NY 10007
Phone (212) 226-7666

Other names 1

  • Ms. Dawn Kleinman Other name

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
269904NYMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1477842102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PARK PLACE, SUITE 1200",
            "address_2": "TRIBECA PEDIATRICS",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10007",
            "telephone_number": "212-226-7666",
            "fax_number": "212-202-7988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MCWILLIAMS PLACE",
            "address_2": "TRIBECA PEDIATRICS",
            "city": "JERSY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "212-226-7666",
            "fax_number": "212-202-7988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORUSO",
        "first_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-04",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "269904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "KLEINMAN",
            "prefix": "MS.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.