Angela Corporan

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

F421782 Issued in NY

Practice address

152 Porter Ave
Bergenfield, NJ 07621-3218

Phone

(201) 338-8456

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Angela Corporan Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: angela.corporan.1@21260.direct.athenahealth.com

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.

• Westchester Medical Group, P.C.

  • Critical Care Medicine (Internal Medicine) Physician
  • Rye Brook, NY
  • NPI 1881653822

  Single Specialty

  Medicare reassignment NPD
• The Westchester Medical Group PC

  • Durable Medical Equipment & Medical Supplies
  • Greenwich, CT
  • NPI 1790560878
  NPD

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1548096696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 PORTER AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213218",
            "telephone_number": "201-338-8456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PORTER AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213218",
            "telephone_number": "201-338-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORPORAN",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "F421782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CORPORAN",
            "prefix": "MRS.",
            "credential": "WHNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alissa J Conce, PA-C
• Aracelis Concepcion
• Colleen Connaughton, MPT, DPT
• Patricia Mary Connolly-Detura, R.N., C.N.M.
• Cornell Surgical Co
• Christine Elizabeth Costa, M.D.
• Jacquelynn Dorthea Coviel, LPN
• Laurence Alfred Chua Crisostomo, R.N
• John Cruz
• Daniel B Popowitz DPM PC

• Women's Health Nurse Practitioner in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.