Individual provider Active NPI

Elizabeth Engle Corcory

  • Lactation Consultant (Non-RN)
  • Audubon, NJ
National Provider Identifier
1356859664
Registry record updated Jan 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lactation Consultant (Non-RN)Taxonomy code 174N00000X
Practice address
32 E Merchant St
Audubon, NJ 08106-1060
Phone
(609) 314-8611
NPI assigned
Jan 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X Primary

Addresses

Primary practice location

32 E Merchant St
Audubon, NJ 08106-1060

Mailing address

32 E Merchant St
Audubon, NJ 08106-1060
Phone (609) 314-8611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1516492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516492800000",
    "number": "1356859664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061060",
            "telephone_number": "609-314-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MERCHANT ST",
            "city": "AUDUBON",
            "state": "NJ",
            "postal_code": "081061060",
            "telephone_number": "609-314-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORCORY",
        "first_name": "ELIZABETH",
        "middle_name": "ENGLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-21",
        "last_updated": "2018-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Audubon, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2018; 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.