NPIMap

Individual provider Active NPI

Douglas P Corazza, MD

  • Internal Medicine Physician
  • Princeton, NJ
National Provider Identifier
1376520825
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MA04884900 Issued in NJ
Practice address
727 State Rd
Suite 1
Princeton, NJ 08540-1444
Phone
(609) 921-6410
Fax
(609) 921-0406
NPI assigned
Dec 27, 2005
Last updated
Nov 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04884900 NJ Primary

Addresses

Primary practice location

727 State Rd
Suite 1
Princeton, NJ 08540-1444

Mailing address

PO Box 416457
Boston, MA 02241-6457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000542 NJ Practitioner - Internal Medicine 0648229310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

727 State Rd
Suite 1
Princeton, NJ 08540-1444
Phone (609) 921-6410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA04884900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, P.C. Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine Current Accepting new patients
Princeton Healthcare Affiliated Physicians PC Internal Medicine CurrentSince Apr 26, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians Internal Medicine CurrentSince Apr 26, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

719 US Highway 206
Ste 100
Hillsborough, NJ 08844
Phone (908) 904-0920

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

253 Witherspoon St
Princeton, NJ 08540
Phone (609) 497-4000

727 State Rd
Princeton, NJ 08540
Phone (609) 921-6410

727 State Rd
Ste 1
Princeton, NJ 08540
Phone (609) 921-6410

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1376520825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416457",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 STATE RD",
            "address_2": "SUITE 1",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401444",
            "telephone_number": "609-921-6410",
            "fax_number": "609-921-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAZZA",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04884900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

Verify at the official NPI Registry.