Cathy Corson-Diaz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

MA061653 Issued in NJ

Practice address

380 Egg Harbor Rd Ste C9
Sewell, NJ 08080-3152

Phone

(856) 589-1151

Fax

(856) 589-1554

NPI assigned

Jul 15, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1609030089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 EGG HARBOR RD STE C9",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803152",
            "telephone_number": "856-589-1151",
            "fax_number": "856-589-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 EGG HARBOR RD STE C9",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080803152",
            "telephone_number": "856-589-1151",
            "fax_number": "856-589-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORSON-DIAZ",
        "first_name": "CATHY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MA061653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel A Cordero
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• Corecare Healthcare Solutions LLC
• Cornerstone Foot & Ankle
• Michael Corrado
• Lisa Cossaboon
• Danielle L. Costello, CPNP
• Skyelar Costello, BCBA, M.S.
• County of Gloucester
• County of Gloucester, Dept of Senior Services

• General Practice Physician in Sewell, NJ
• Providers in Sewell, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.