Individual provider Active NPI

Philip A Korzeniowski, M.D.

  • Obstetrics & Gynecology Physician
  • Somers Point, NJ
National Provider Identifier
1720050776
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA059875 Issued in NJ
Practice address
599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400
Phone
(609) 926-8353
Fax
(609) 926-4579
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA059875 NJ Primary

Addresses

Primary practice location

599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philip.korzeniowski@axia.eclinicaldirectplus.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050825000167 NJ Practitioner - Obstetrics/Gynecology 1850320771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, Geffen School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400
Phone (609) 926-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA059875NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Feb 5, 2014 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Feb 5, 2014 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology PastSince Oct 15, 2001 Accepting new patients

Locations

605 Route 9 S
Ste 4
Cape May Court House, NJ 08210
Phone (609) 463-8100

76 W Jimmie Leeds Rd
Ste 104
Galloway, NJ 08205
Phone (609) 748-6696

400 Lippincott Dr
Ste 140B
Marlton, NJ 08053

4622 Black Horse Pike
Ste 104
Mays Landing, NJ 08330
Phone (609) 625-9610

312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552

829 Shore Rd
Somers Point, NJ 08244
Phone (609) 927-3070

599 Shore Rd
Ste 101
Somers Point, NJ 08244
Phone (609) 926-8353

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

2401 E Evesham Rd
#A1
Voorhees, NJ 08043
Phone (856) 424-3323

Interoperability endpoints

  • Direct secure messaging: philip.korzeniowski@axia.eclinicaldirectplus.com

Organizations & group practices 3

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1720050776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SHORE RD",
            "address_2": "SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442400",
            "telephone_number": "609-926-8353",
            "fax_number": "609-926-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORZENIOWSKI",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA059875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.korzeniowski@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "599 Shore Rd",
            "address_2": "Suite 101",
            "city": "Somers Point",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082442400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.