The Connie Dwyer Breast Center
Surgery in Newark, New Jersey
1386772226- Practice location
- 111 Central Ave, Newark, NJ 07102-1909
- Phone
- 973-877-5189
- Fax
- 973-877-5205
- Last updated
- September 11, 2025
The Connie Dwyer Breast Center is a healthcare organization based in Newark, NJ. The Connie Dwyer Breast Center practices in Newark, NJ. The NPI Number for The Connie Dwyer Breast Center is 1386772226 and holds a License No. 25MA02784400 (NJ). The current practice location address for The Connie Dwyer Breast Center is 111 Central Ave, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5189 and via fax at 973-877-5205.
Provider Profile Details
- NPI Number
- 1386772226
- Provider Name
- The Connie Dwyer Breast Center
- Provider Entity Type
- Organization
- Address
- 111 Central Ave, Newark, NJ 07102-1909
- Phone Number
- 973-877-5189
- Fax Number
- 973-877-5205
- Primary Taxonomy
- Surgery · 208600000X
- Organization Subpart
- No
- Authorized Official
- Linda Harper · Billing Representative · 201-996-4053
- Provider Enumeration Date
- March 1, 2007
- Last Update Date
- September 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 111 Central Ave
Newark, NJ 07102-1909 - City
- Newark
- State
- New Jersey
- Zip
- 07102-1909
- Phone Number
- 973-877-5189
- Fax Number
- 973-877-5205
Provider Business Mailing Address Details
- Address
- Po Box 2047
South Hackensack, NJ 07606-0647 - City
- South Hackensack
- State
- NJ
- Zip
- 07606-0647
- Phone Number
- 201-968-9456
- Fax Number
- 201-336-8198
License Information
- License Number (1)
- 25MA02784400
- License State (1)
- NJ
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- License Number (2)
- 25MA07666200
- License State (2)
- NJ
- Taxonomy (2)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Surgery providers near Newark, NJ
View all Surgery providers in Newark →Frequently Asked Questions
What is the NPI number of The Connie Dwyer Breast Center?
The NPI number of The Connie Dwyer Breast Center is 1386772226. It was assigned on March 1, 2007 and is currently active in the NPPES registry.
What is the specialty of The Connie Dwyer Breast Center?
The Connie Dwyer Breast Center is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA02784400.
Where does The Connie Dwyer Breast Center practice?
The practice location is 111 Central Ave, Newark, NJ 07102-1909. The office can be reached at 973-877-5189 (phone) or 973-877-5205 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386772226 directly on the NPPES registry website.