Active NPI
Dawn Gilbert Ippoliti, MAMA, LCAT, LPAT
- Art Therapist
- Westfield, NJ
National Provider Identifier
1831662220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 16LP00014600
- Practice address
- 202 Mountain Ave Ste 3
Westfield, NJ 07090-3152 - Phone
- (917) 374-7977
- NPI assigned
- Jan 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 16LP00014600 | NJ | Primary |
| Art Therapist | 221700000X | 001169 | NY |
Addresses
Primary practice location
202 Mountain Ave Ste 3
Westfield, NJ 07090-3152
Mailing address
202 Mountain Ave Ste 3
Westfield, NJ 07090-3152
Phone (917) 374-7977
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 |
|---|---|---|---|
| 16LP00014600 | NJ | MD | Art Therapist |
| 001169 | NY | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1831662220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 MOUNTAIN AVE STE 3",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070903152",
"telephone_number": "917-374-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 MOUNTAIN AVE STE 3",
"city": "WESTFIELD",
"state": "NJ",
"postal_code": "070903152",
"telephone_number": "917-374-7977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IPPOLITI",
"first_name": "DAWN",
"middle_name": "GILBERT",
"name_prefix": "Mrs.",
"credential": "MAMA, LCAT, LPAT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-08",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NJ",
"license": "16LP00014600",
"primary": true
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "001169",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.