Organization Active NPI

Richard Corson MD LLC

  • Family Medicine Physician
  • Hillsborough, NJ
National Provider Identifier
1477614543
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RICHARD CORSON MD LLC
Practice address
313 Courtyard Dr
Hillsborough, NJ 08844-4253
Phone
(908) 722-9962
Fax
(908) 722-9963
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Richard L Corson, MD
Title
Sole Proprietor
Phone
(908) 722-9962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

313 Courtyard Dr
Hillsborough, NJ 08844-4253

Mailing address

313 Courtyard Dr
Hillsborough, NJ 08844-4253
Phone (908) 722-9962

Other identifiers 1

IdentifierTypeStateIssuer
4825101MedicaidNJ

National Provider Directory

National Provider Directory

Locations

313 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 722-9962

211 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 685-0080

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1477614543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444253",
            "telephone_number": "908-722-9962",
            "fax_number": "908-722-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 COURTYARD DR",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088444253",
            "telephone_number": "908-722-9962",
            "fax_number": "908-722-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CORSON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "CORSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "908-722-9962",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4825101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; 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.