Individual provider Active NPI

Cora C. Burgess, APN

  • Adult Health Nurse Practitioner
  • Egg Harbor Township, NJ
National Provider Identifier
1194131847
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00507800 Issued in NJ
Practice address
2500 English Creek Ave
Building 200 Suite 222
Egg Harbor Township, NJ 08234-5549
Phone
(609) 382-5066
Fax
(609) 909-0267
NPI assigned
Jul 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00507800 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
Building 200 Suite 222
Egg Harbor Township, NJ 08234-5549

Mailing address

2500 English Creek Ave Ste 222
Egg Harbor TWP, NJ 08234-5598
Phone (609) 909-0200

Other names 1

  • Cora C. Dallett Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014000013 NJ Practitioner - Nurse Practitioner 0244450310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PA 506 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
214 Apg Pavilion OB/GYN
Egg Harbor Township, NJ 08234-5598
Phone (609) 677-7211

Hospital & facility affiliations

  • Patient Care Home health agency, Egg Harbor Township, NJ, CCN 317072
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Apr 21, 2019 Accepting new patients
Atlanticare Physician Group PA CurrentSince Apr 21, 2019 Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

2500 English Creek Ave
Ste 214
Egg Harbor Twp, NJ 08234
Phone (609) 909-0200

2500 English Creek Ave
Ste 222
Egg Harbor Twp, NJ 08234
Phone (609) 382-5066

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

Organizations & group practices 4

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 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1194131847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 222",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345598",
            "telephone_number": "609-909-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BUILDING 200 SUITE 222",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-382-5066",
            "fax_number": "609-909-0267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS",
        "first_name": "CORA",
        "middle_name": "C.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00507800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORA",
            "last_name": "DALLETT",
            "middle_name": "C.",
            "credential": "APN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.