Individual provider Active NPI

Corinne Kurtzer, PA

  • Physician Assistant
  • Cape May Court House, NJ
National Provider Identifier
1720852197
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00815000 Issued in NJ
Practice address
105 N Main St
Cape May Court House, NJ 08210-2119
Phone
(609) 465-8788
Fax
(609) 465-8643
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00815000 NJ Primary

Addresses

Primary practice location

105 N Main St
Cape May Court House, NJ 08210-2119

Mailing address

105 N Main St
Cape May Court House, NJ 08210-2119
Phone (609) 465-8788

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
I20240102004191 NJ Practitioner - Physician Assistant 8729438734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Paolini, DO, PCGroup PAC ID 9133187768, 5 clinicians

Practice addresses (Care Compare)

105 N Main St
Cape May Court House, NJ 08210-2119
Phone 6094658788110

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: ckurtzer@paoliniderm.emadirect.md

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1720852197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102119",
            "telephone_number": "609-465-8788",
            "fax_number": "609-465-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZER",
        "first_name": "CORINNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00815000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.