Pedro Evelio Cordero, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MA04440600 Issued in NJ

Practice address

236 E Westfield Ave
Suite 4
Roselle Park, NJ 07204-2084

Phone

(908) 241-2401

Fax

(908) 241-2402

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

General SurgeryAlso: Vascular Surgery

Education

State University of New York at Buffalo School of Medicine, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinitas Regional Medical Center Hospital, Elizabeth, NJ, CCN 310027
• Robert Wood Johnson University Hospital at Rahway Hospital, Rahway, NJ, CCN 310024

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pedrocordero@cfvd.allscriptsdirect.net

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.

• Center for Vascular Disorders, P.a.

  • Surgery Physician
  • Roselle Park, NJ
  • NPI 1487785119
  Medicare reassignment NPD Authorized official
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  NPD (past)

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

• Robert Wood Johnson University Hospital at Rahway

  • General Acute Care Hospital
  • Rahway, NJ
  • NPI 1861486870
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1134129802
  Care Compare affiliation
• Trinitas Regional Medical Center

  • Specialist
  • Elizabeth, NJ
  • NPI 1487697785

  Hospital

  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1770583999
  Care Compare affiliation
• Trinitas Regional Medical Center

  • General Acute Care Hospital
  • Elizabeth, NJ
  • NPI 1790785913
  Care Compare affiliation

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232323200000",
    "number": "1295896231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "address_2": "SUITE 4",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-241-2401",
            "fax_number": "908-241-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 E WESTFIELD AVE",
            "address_2": "SUITE 4",
            "city": "ROSELLE PARK",
            "state": "NJ",
            "postal_code": "072042084",
            "telephone_number": "908-241-2401",
            "fax_number": "908-241-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "PEDRO",
        "middle_name": "EVELIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2009-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA04440600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3397904",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Nicole Churylo, PA-C
• Nicola W Cicchetti, D.M.D.
• Mark P. Cohen, DDS
• Compassionate Healthcare Service LLC
• Louis J Conte, DO
• Crescent Medical Group PC
• Crescent Medical Group PC
• Monica Cristofaro, OTR
• Jaroslaw Czajkowski, DPT
• Daruma Dreams

• Surgery Physician in Roselle Park, NJ
• Providers in Roselle Park, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.