Individual provider Active NPI

Dorothy Sandy Whipple, M.D.

  • Dermatopathology Physician
  • Haddon Heights, NJ
National Provider Identifier
1871629378
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
25MA06763100 Issued in NJ
Practice address
112 White Horse Pike
RT. 30
Haddon Heights, NJ 08035-1908
Phone
(856) 546-8672
Fax
(856) 546-5315
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 25MA06763100 NJ Primary

Addresses

Primary practice location

112 White Horse Pike
RT. 30
Haddon Heights, NJ 08035-1908

Mailing address

112 White Horse Pike
RT. 30
Haddon Heights, NJ 08035-1908
Phone (856) 546-8672

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Physicians of South Jersey, PA Dermatopathology CurrentSince Jul 1, 1998 Accepting new patients

Locations

112 White Horse Pike
#30
Haddon Hgts, NJ 08035
Phone (856) 546-5353

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1871629378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WHITE HORSE PIKE",
            "address_2": "RT. 30",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351908",
            "telephone_number": "856-546-8672",
            "fax_number": "856-546-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WHITE HORSE PIKE",
            "address_2": "RT. 30",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351908",
            "telephone_number": "856-546-8672",
            "fax_number": "856-546-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHIPPLE",
        "first_name": "DOROTHY",
        "middle_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NJ",
            "license": "25MA06763100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddon Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.