Individual provider Active NPI

Anthony Cultrara, M.D.

  • Otolaryngology Physician
  • Mount Laurel, NJ
National Provider Identifier
1083619860
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
25MA07615000 Issued in NJ
Practice address
204 Ark Rd Ste 102
Mount Laurel, NJ 08054-3100
Phone
(856) 576-5743
Fax
(856) 519-5435
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 25MA07615000 NJ Primary

Addresses

Primary practice location

204 Ark Rd Ste 102
Mount Laurel, NJ 08054-3100

Mailing address

660 White Plains Rd FL 4
Tarrytown, NY 10591-5187
Phone (914) 333-5801

Other practice location 1

239 Hurffville Crosskeys Rd Ste 365
Sewell, NJ 08080-4009
Phone (856) 576-5745

Other identifiers 4

IdentifierTypeStateIssuer
0072857000OtherNJAMERIHEALTH
2682508MedicaidNJ
3321541OtherNJAETNA
134233377OtherNJHORIZON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526000101 NJ Practitioner - Otolaryngology 4688564800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates LLPGroup PAC ID 0749193662, 431 clinicians

Practice addresses (Care Compare)

239 Hurffville Crosskeys Rd
Suite 265
Sewell, NJ 08080-4008
Phone (856) 576-5745

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.54 of 100Reported as group
Quality
89.88
Promoting interoperability
87
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA07615000NJMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
ENT and Allergy Associates LLP Otolaryngology CurrentSince Jan 1, 2025 Accepting new patients
ENT and Allergy Associates of Pennsylvania PLLC Otolaryngology PastSince Nov 10, 2024 Accepting new patients

Locations

130 N Haddon Ave
Haddonfield, NJ 08033
Phone (856) 429-5055

103 Old Marlton Pike
Ste 225
Medford, NJ 08055
Phone (609) 953-7110

204 Ark Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 576-5743

239 Hurffville Crosskeys Rd
Ste 365
Sewell, NJ 08080
Phone (856) 576-5745

239 Hurffville Crosskeys Rd
Ste 265
Sewell, NJ 08080
Phone (856) 576-5745

1131 Broad St
Ste 103
Shrewsbury, NJ 07702
Phone (732) 389-2438

200 Bowman Dr
Ste D285
Voorhees, NJ 08043
Phone (856) 576-5746

620 N Broad St
Woodbury, NJ 08096
Phone (856) 602-4000

660 White Plains Rd
Fl Fourth
Tarrytown, NY 10591
Phone (914) 984-2546

660 White Plains Rd
Fl 4
Tarrytown, NY 10591
Phone (914) 984-2546

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: anthony.cultrara@direct.entandallergy.nextgenshare.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1083619860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 WHITE PLAINS RD FL 4",
            "city": "TARRYTOWN",
            "state": "NY",
            "postal_code": "105915187",
            "telephone_number": "914-333-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 ARK RD STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543100",
            "telephone_number": "856-576-5743",
            "fax_number": "856-519-5435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 365",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804009",
            "country_code": "US",
            "telephone_number": "856-576-5745",
            "fax_number": "856-519-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULTRARA",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA07615000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0072857000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2682508",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3321541",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "134233377",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.