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DILLON CLANCY DO
NPI 1205415536
Student in an Organized Health Care Education/Training Program in Mount Holly, NJ

Active since April 05, 2021
175 MADISON AVE, MOUNT HOLLY, NJ 08060(609) 914-6000 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2026, Apr 5, 2021 (2 updates tracked since 2021).

About Dillon Clancy Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DILLON CLANCY DO (NPI 1205415536) is an individual student in an organized health care education/training program in Mount Holly, New Jersey and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1205415536
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDILLON CLANCYCredential: DO
Location Address175 MADISON AVEMount Holly, NJ 08060-2099
Mailing Address1501 Little Gloucester Rd Apt E28Blackwood, NJ 08012-3441 · (631) 379-3105
Phone(609) 914-6000
Sole ProprietorYes
Enumeration DateApril 5, 2021
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1205415536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
175 MADISON AVE, Mount Holly, NJ 08060
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JUBRIL OYEKANMI OYEYEMI M.D.
Internal Medicine
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 914-6180
NICOLE TOMKOWICH DO
Anesthesiology
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 914-6000
DR. DAVID C HON MD
Surgery
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (856) 247-7260
AMANDA STEVENSON
Dietitian, Registered
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (732) 814-9179
SOUTH JERSEY EMERGENCY PHYSICIANS, PA
Emergency Medicine
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 267-0700
DR. ALI SENATORE D.O.
Emergency Medicine
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 261-7045
BRUNILDA PLAKU CRNA
Nurse Anesthetist, Certified Registered
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 261-1660
SHARON FRANKLIN CASTELLINO
Hospitalist
175 MADISON AVE
MOUNT HOLLY, NJ 08060
Burlington County (609) 914-6180

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dillon Clancy's NPI number?

The NPI number for Dillon Clancy is 1205415536. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Dillon Clancy located?

Dillon Clancy practices at 175 Madison Ave, Mount Holly, NJ 08060. The listed phone number is (609) 914-6000.

What is Dillon Clancy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Dillon Clancy was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.