Individual provider Active NPI

Corazon Guerzo Tablang, MD

  • Anesthesiology Physician
  • Hoboken, NJ
National Provider Identifier
1730156407
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA07159700 Issued in NJ
Practice address
308 Willow Ave
Hoboken, NJ 07030-3808
Phone
(201) 945-2481
Fax
(201) 943-8105
NPI assigned
Mar 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 25MA07159700 NJ Primary

Addresses

Primary practice location

308 Willow Ave
Hoboken, NJ 07030-3808

Mailing address

PO Box 5120
Newark, NJ 07101
Phone (201) 945-2481

Other identifiers 1

IdentifierTypeStateIssuer
0391905MedicaidNJ

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

LicenseStateTypeSpecialty
25MA07159700NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Advantage of Delaware, P.a. Anesthesiology Past Accepting new patients
Hudson Anesthesiology Services, LLC Anesthesiology Past Accepting new patients
Professional Anesthesia Consultants, PC Anesthesiology Past Accepting new patients
Anesthesia Advantage PC Anesthesiology Past Accepting new patients
County Wide Anesthesia Group, LLC Past Accepting new patients
CMC Radiological Services PC Past Accepting new patients
Kirkwood Endoscopy Center LLC Past Accepting new patients
Professional Anesthesia Services, LLC Past Accepting new patients

Organizations & group practices 8

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730156407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5120",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "07101",
            "telephone_number": "201-945-2481",
            "fax_number": "201-943-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 WILLOW AVE",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070303808",
            "telephone_number": "201-945-2481",
            "fax_number": "201-943-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLANG",
        "first_name": "CORAZON",
        "middle_name": "GUERZO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA07159700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0391905",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoboken, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.