Eileen M Corcoran, RN, APN,C

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

26NN07350200 Issued in NJ

Practice address

151 State Route 10 E
Suite 105
Succasunna, NJ 07876-1452

Phone

(973) 584-0002

NPI assigned

Feb 12, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Morris Anesthesia Group, PA

  • Pain Medicine (Anesthesiology) Physician
  • Brick, NJ
  • NPI 1477942423
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356482202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 MAPLE PATH",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078604163",
            "telephone_number": "973-948-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 STATE ROUTE 10 E",
            "address_2": "SUITE 105",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761452",
            "telephone_number": "973-584-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORAN",
        "first_name": "EILEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "RN, APN,C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NN07350200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6630103",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medina Colaku
• Samantha Colletti
• Kevin P Collins
• Mariangela Comelato Remetz, D.C.
• Comfort Dental Group, LLC
• Counseling Center at Clark, LLC
• Anna Crumm, LPC
• Denise Cusick, FNP
• Alana Lynn D'Alessandro, M.A., CCC-SLP
• Mary D'Elia, M.S. CCC-SLP

• Pediatric Nurse Practitioner in Succasunna, NJ
• Providers in Succasunna, NJ by specialty
• Pediatric Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.