Individual provider Active NPI

Cory D Vergilio, MD

  • Gastroenterology Physician
  • Somerville, NJ
National Provider Identifier
1841203940
Registry record updated Nov 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA55433 Issued in NJ
Practice address
319 E Main St
Somerville, NJ 08876-3109
Phone
(908) 203-0900
Fax
(908) 203-0990
NPI assigned
Aug 14, 2006
Last updated
Nov 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA55433 NJ Primary

Addresses

Primary practice location

319 E Main St
Somerville, NJ 08876-3109

Mailing address

319 E Main St
Somerville, NJ 08876-3109
Phone (908) 203-0900

Other identifiers 1

IdentifierTypeStateIssuer
6356206MedicaidNJ

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
I20061201000466 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 0143228023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Rutgers New Jersey Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Digestive Healthcare Center PAGroup PAC ID 8224007497, 14 clinicians

Practice addresses (Care Compare)

511 Courtyard Dr
Hillsborough, NJ 08844-4255
Phone (908) 218-9222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy61
Upper gastrointestinal (GI) endoscopy for acid reflux128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA55433NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Healthcare Center PA CurrentSince Apr 23, 2013 Accepting new patients

Locations

511 Courtyard Dr
Hillsborough, NJ 08844
Phone (908) 218-1616

Organizations & group practices 2

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 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385337600000",
    "number": "1841203940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763109",
            "telephone_number": "908-203-0900",
            "fax_number": "908-203-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 E MAIN ST",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763109",
            "telephone_number": "908-203-0900",
            "fax_number": "908-203-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERGILIO",
        "first_name": "CORY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2013-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA55433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6356206",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, NJ

Sources for this page

Verify at the official NPI Registry.