Individual provider Active NPI

Corazon J Coulter, MSN APN -C

  • Primary Care Nurse Practitioner
  • Ventnor City, NJ
National Provider Identifier
1508512427
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ01252700 Issued in NJ
Practice address
6725 Ventnor Ave
Ventnor City, NJ 08406-2166
Phone
(609) 350-6780
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ01252700 NJ Primary

Addresses

Primary practice location

6725 Ventnor Ave
Ventnor City, NJ 08406-2166

Mailing address

6725 Ventnor Ave
Ventnor City, NJ 08406-2166
Phone (609) 350-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220802001990 NJ Practitioner - Nurse Practitioner 6305228727 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01252700NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Pain Care PC CurrentSince Nov 1, 2024 Accepting new patients
Regional Internal Medicine Associates, PC CurrentSince Nov 1, 2024 Accepting new patients
Specialty Medconsultants LLC CurrentSince Nov 17, 2025 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Jul 31, 2022 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jul 31, 2022 Accepting new patients

Locations

415 Chris Gaupp Dr
Ste C
Galloway, NJ 08205
Phone (609) 748-7574

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

1004 S New Rd
Pleasantville, NJ 08232
Phone (609) 652-4141

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

6725 Ventnor Ave
Ste C
Ventnor City, NJ 08406
Phone (609) 350-6780

6410 New Jersey Ave
Wildwood Crst, NJ 08260
Phone (609) 522-1404

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1508512427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "609-350-6780",
            "fax_number": "609-350-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6725 VENTNOR AVE",
            "city": "VENTNOR CITY",
            "state": "NJ",
            "postal_code": "084062166",
            "telephone_number": "609-350-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "CORAZON",
        "middle_name": "J",
        "credential": "MSN APN -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ01252700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventnor City, NJ

Sources for this page

Verify at the official NPI Registry.