Peter Robert Dandorf

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

201 Mullica Hill Rd
Glassboro, NJ 08028-1700

Phone

(856) 256-4000

NPI assigned

Sep 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1710763552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 9TH ST",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073021506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MULLICA HILL RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281700",
            "telephone_number": "856-256-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDORF",
        "first_name": "PETER",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Cudlipp
• Samantha Cunningham
• Angela Adele Cure
• Rebecca Cusato, DROT, OTR/L
• Rachel L D'Alessandro, MSW, LSW
• Joshua Alexander Daniels
• Irene Darpino, NURSE PRACTITIONER
• NA'Taya Dautruche-Tingling, FNP
• Heaven Davis
• Rebecca Lynn Davis, M.A.

• Athletic Trainer in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.