Active NPI
Nicole Dorrity, CPRS 03/2019
- Peer Specialist
- Ocean, NJ
National Provider Identifier
1487326351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 618
- Practice address
- 1405 Rte 35 Ste 201
Ocean, NJ 07712-3558 - Phone
- (848) 245-7060
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- 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 | 618 | NJ | Primary |
Addresses
Primary practice location
1405 Rte 35 Ste 201
Ocean, NJ 07712-3558
Mailing address
1405 Rte 35 Ste 201
Ocean, NJ 07712-3558
Phone (848) 245-7060
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 |
|---|---|---|---|
| 618 | NJ | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632873600000",
"number": "1487326351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 RTE 35 STE 201",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123558",
"telephone_number": "848-245-7060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 RTE 35 STE 201",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077123558",
"telephone_number": "848-245-7060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORRITY",
"first_name": "NICOLE",
"credential": "CPRS 03/2019",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-29",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NJ",
"license": "618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.