Healthcare Provider Details

I. General information

NPI: 1881233930
Provider Name (Legal Business Name): DAWN NEWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN HARTNER

II. Dates (important events)

Enumeration Date: 01/06/2020
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W ROUTE 38 FL 1
MOORESTOWN NJ
08057-3219
US

IV. Provider business mailing address

1 FEDERAL ST STE 200
CAMDEN NJ
08103-1088
US

V. Phone/Fax

Practice location:
  • Phone: 856-722-1898
  • Fax:
Mailing address:
  • Phone: 848-288-6935
  • Fax: 732-790-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ00983900
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number26NJ00983900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: