Organization Active NPI

Dana E. Sless, DO, LLC

  • Medical Specialty Clinic/Center
  • Egg Harbor Township, NJ
National Provider Identifier
1992796601
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MB07099600 Issued in NJ
Legal business name
DANA E. SLESS, DO, LLC
Practice address
3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708
Phone
(609) 383-3800
Fax
(609) 383-3839
NPI assigned
Nov 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Authorized official

Name
Mrs. Dana E Sless, DONPI 1184615973
Title
Owner
Phone
(609) 383-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MB07099600 NJ Primary

Addresses

Primary practice location

3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708

Mailing address

3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708
Phone (609) 383-3800

Other practice location 1

2829 Atlantic Ave
Atlantic City, NJ 08401-6325
Phone (609) 348-4813

Other identifiers 1

IdentifierTypeStateIssuer
9091301MedicaidNJ

Other names 1

  • Brighton Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

2829 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 348-4813

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555632000000",
    "number": "1992796601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE STE 302",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-383-3800",
            "fax_number": "609-383-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3069 ENGLISH CREEK AVE STE 302",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082349708",
            "telephone_number": "609-383-3800",
            "fax_number": "609-383-3839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2829 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084016325",
            "country_code": "US",
            "telephone_number": "609-348-4813",
            "fax_number": "609-345-2105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DANA E. SLESS, DO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2019-04-19",
        "status": "A",
        "authorized_official_last_name": "SLESS",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-383-3800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MB07099600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9091301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brighton Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brighton Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; 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.