Individual provider Active NPI

Phillip A Koren, MD

  • Cardiovascular Disease Physician
  • Camden, NJ
National Provider Identifier
1831142207
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA05413800 Issued in NJ
Practice address
3 Cooper PLZ RM 318
Camden, NJ 08103
Phone
(856) 342-3491
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA05413800 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 318
Camden, NJ 08103

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 547-0539 ext. 2236

Other practice location 2

210 W Atlantic Ave
Haddon Heights, NJ 08035-1715
Phone (856) 547-0539 ext. 2236

Other identifiers 1

IdentifierTypeStateIssuer
5415209MedicaidNJ

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
I20100225000027 NJ Practitioner - Cardiovascular Disease (Cardiology) 8820070980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Howard University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

900 Centennial Blvd
Suite M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Cardiovascular Disease CurrentSince Jan 13, 2014 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jan 13, 2014 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Cardiac Interpretation Services, LLC Cardiovascular Disease Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1 Federal St
#200
Camden, NJ 08103

217 N Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-5440

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

66 East Ave
Woodstown, NJ 08098
Phone (856) 935-6700

Interoperability endpoints

  • Direct secure messaging: pkoren5591@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1831142207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 318",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-342-3491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351715",
            "country_code": "US",
            "telephone_number": "856-547-0539 x2236",
            "fax_number": "856-547-3178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351715",
            "country_code": "US",
            "telephone_number": "856-547-0539 x2236",
            "fax_number": "856-547-3178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOREN",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA05413800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5415209",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.