Organization Active NPI

David L. Dondero

  • Durable Medical Equipment & Medical Supplies
  • Lawrenceville, NJ
National Provider Identifier
1548415169
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD001022 Issued in NJ
Legal business name
DAVID L. DONDERO
Practice address
2304 US Highway 1
Lawrenceville, NJ 08648-4411
Phone
(609) 695-6680
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. David Lee Dondero, DPM
Title
Owner
Phone
(609) 695-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD001022 NJ Primary

Addresses

Primary practice location

2304 US Highway 1
Lawrenceville, NJ 08648-4411

Mailing address

2304 US Highway 1
Lawrenceville, NJ 08648-4411
Phone (609) 695-6680

Other identifiers 2

IdentifierTypeStateIssuer
1497811590OtherNJNPI SOLE PRACTICE
2882108MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1548415169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 US HIGHWAY 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484411",
            "telephone_number": "609-695-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 US HIGHWAY 1",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086484411",
            "telephone_number": "609-695-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L. DONDERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "DONDERO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-695-6680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NJ",
            "license": "MD001022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI SOLE PRACTICE",
            "identifier": "1497811590",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2882108",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.