Dorothy Iannaco · Dorothy Williams · Family Nurse Practitioner

239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005

Overview

Dorothy Iannaco is a Family Nurse Practitioner practicing in Sewell, New Jersey. The National Provider Identifier (NPI) is #1649269309, which was assigned on October 17, 2005, and the registration record was last updated on May 28, 2025. The practitioner's main practice location is at 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005; the contact telephone number is 8563418200, and the fax number is 8563418215. The primary taxonomy of Dorothy Iannaco is Family Nurse Practitioner (363LF0000X), with specialization in Family. Dorothy Iannaco is licensed to practice in the state of New Jersey (#26NJ00048000).

Provider Information

NPI 1649269309
Entity Type Individual
Provider Name DOROTHY IANNACO
Other Name DOROTHY WILLIAMS
(Former Name)
Gender Female
Credential APN
Practice Address 239 Hurffville Crosskeys Rd Ste 160
Sewell
NJ 08080-4005
Practice Telephone 8563418200
Practice Fax Number 8563418215
Mailing Address 2000 Crawford Pl Ste 200
Mount Laurel
NJ 08054-3954
Mailing Telephone 8563550340
Mailing Fax Number 8563550330
Certification Date 2025-05-28
Enumeration Date 2005-10-17
Last Update Date 2025-05-28
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 5193773513
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name DOROTHY IANNACO
Primary Specialty NURSE PRACTITIONER
Organization Legal Name VIRTUA MEDICAL GROUP, PA
Address 305 Route 70 E
Cherry Hill
NJ 08034-2408

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363LF0000XNurse PractitionerFamily26NJ00048000NJ

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
0055441NJMEDICAID

Secondary Practice Locations

AddressTelephoneFax
128 Route 70 Ste 1, Medford, NJ 08055237160936709006093670901
141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062261585674602068567460207
158 Route 73 Ste B, Voorhees, NJ 08043953985624772308562477231
239 Hurffville Crosskeys Rd Ste 160 Fl 1, Sewell, NJ 0808085634182008563418215
315 Route 70 E Ste B, Cherry Hill, NJ 08034240885637562408563756241
401 Young Ave Ste 180 Front, Moorestown, NJ 0805785629186008562918610
555 High St Ste 16A, Mount Holly, NJ 08060108460944456106094445611
602 W Cuthbert Blvd Unit 26, Haddon Township, NJ 08108364285694651808569465181

Taxonomy Information

Primary Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

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Location Information

Street Address 239 HURFFVILLE CROSSKEYS RD STE 160
City SEWELL
State NJ
Zip Code 08080-4005
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Jessica Cusato 239 Hurffville Crosskeys Rd Ste 160, Sewell, NJ 08080-4005Family Nurse Practitioner2024-01-09

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Pharmcierge 239 Hurffville Crosskeys Rd Ste 150, Sewell, NJ 08080-4005Pharmacy2025-08-13

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Devin Elizabeth Harkins · Devin Casey 435 Hurffville - Cross Keys Rd, Washington Township, NJ 08080Student in an Organized Health Care Education/Training Program2018-06-10
Dominick J Zampino 1474 Tanyard Road, Suite B100-A, Sewell, NJ 08080Internal Medicine Physician2006-10-10
Erinn Hope Allred 405 Hurffville-Crosskeys Road, Suite 202, Sewell, NJ 08080Obstetrics & Gynecology Physician2021-04-17
Aa Senior Sewell Opco LLC 339 Greentree Rd, Sewell, NJ 08080-1728Assisted Living Facility2026-01-13
Tremaine White 288 Egg Harbor Road, Ste 9 Pmb# 6102, Sewell, NJ 08080Psychiatric/Mental Health Nurse Practitioner2025-09-01
Jordan Spusta 1474 Tanyard Road, Suite A100, Sewell, NJ 08080Neuromusculoskeletal Medicine & OMM Physician2020-06-17
James Tighe 105 Berry Ln, Sewell, NJ 08080-1535Chiropractor2016-02-11
Nils Viesturs Brolis 1474 Tanyard Road, Suite D100, Sewell, NJ 08080Family Medicine Physician2011-06-29
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Kirstin Sanborn 1474 Tanyard Road, Suite A100, Sewell, NJ 08080Neuromusculoskeletal Medicine & OMM Physician2010-08-22
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.