Active NPI
Orlando Cordero, MD
- Diagnostic Radiology Physician
- Sparta, NJ
National Provider Identifier
1679780399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA02704500
- Practice address
- 89 Sparta Ave
Suite 120
Sparta, NJ 07871-1777 - Phone
- (973) 726-0002
- Fax
- (973) 726-4456
- NPI assigned
- May 16, 2007
- Last updated
- Mar 4, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MA027045 | WA | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA02704500 | NJ | Primary |
Addresses
Primary practice location
89 Sparta Ave
Suite 120
Sparta, NJ 07871-1777
Mailing address
2501 Oregon PK.
Suite 101
Lancaster, PA 17601-4890
Phone (717) 293-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1520806 | Medicaid | NJ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA027045 | WA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newton Imaging P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236124800000",
"number": "1679780399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 OREGON PK.",
"address_2": "SUITE 101",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176014890",
"telephone_number": "717-293-3223",
"fax_number": "717-390-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 SPARTA AVE",
"address_2": "SUITE 120",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078711777",
"telephone_number": "973-726-0002",
"fax_number": "973-726-4456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "ORLANDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2009-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WA",
"license": "MA027045",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA02704500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1520806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.