Active NPI
Corey John Makos, RN
- Certified Registered Nurse Anesthetist
- Camden, NJ
National Provider Identifier
1306642061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ15555000
- Practice address
- 1600 Haddon Ave FL 3
Camden, NJ 08103-3101 - Phone
- (856) 988-6260
- NPI assigned
- Feb 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN689099 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ15555000 | NJ | Primary |
Addresses
Primary practice location
1600 Haddon Ave FL 3
Camden, NJ 08103-3101
Mailing address
1600 Haddon Ave FL 3
Camden, NJ 08103-3101
Phone (856) 355-0260
Other practice location 1
800 E Lancaster Ave
Villanova, PA 19085-1478
Phone (610) 519-4907
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmakos283026@directvirtua.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Haddon Ave
FL 3
Camden, NJ 08103-3101
Phone (856) 757-3500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN689099 | PA | MD | Registered Nurse |
| 26NJ15555000 | NJ | MD | Certified Registered Nurse Anesthetist |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1306642061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 HADDON AVE FL 3",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-355-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 HADDON AVE FL 3",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033101",
"telephone_number": "856-988-6260"
}
],
"practiceLocations": [
{
"address_1": "800 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Villanova",
"state": "PA",
"postal_code": "190851478",
"country_code": "US",
"telephone_number": "610-519-4907",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAKOS",
"first_name": "COREY",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-24",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN689099",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ15555000",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmakos283026@directvirtua.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1600 Haddon Ave Fl 3",
"city": "Camden",
"state": "NJ",
"country_code": "US",
"postal_code": "081033101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.