Active NPI
Daniela Correa, MD
- Pediatrics Physician
- New Brunswick, NJ
National Provider Identifier
1508228073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MA105307006
- Practice address
- 123 How LN
New Brunswick, NJ 08901-3653 - Phone
- (732) 745-8519
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 25MA105307006 | NJ | Primary |
Addresses
Primary practice location
123 How LN
New Brunswick, NJ 08901-3653
Mailing address
500 Station Dr Apt 515
Avenel, NJ 07001-1800
Phone (347) 552-7674
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dcorrea@saintpetersuh.com | Health Information Exchange (HIE) |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA105307006 | NJ | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565740800000",
"number": "1508228073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 STATION DR APT 515",
"city": "AVENEL",
"state": "NJ",
"postal_code": "070011800",
"telephone_number": "347-552-7674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 HOW LN",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089013653",
"telephone_number": "732-745-8519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORREA",
"first_name": "DANIELA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2019-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA105307006",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dcorrea@saintpetersuh.com",
"affiliation": "N",
"endpointDescription": "e-mail",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "e-mail",
"address_1": "123 How Ln",
"city": "New Brunswick",
"state": "NJ",
"country_code": "US",
"postal_code": "089013653",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.