Individual provider Active NPI

Peter Dennis Corda, DO

  • Anesthesiology Physician
  • Williamstown, NJ
National Provider Identifier
1861477192
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MB04459800 Issued in NJ
Practice address
2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Phone
(856) 740-4888
NPI assigned
Dec 9, 2005
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 25MB04459800 NJ Primary

Addresses

Primary practice location

2007 N Black Horse Pike
Williamstown, NJ 08094-9120

Mailing address

PO Box 8890
Turnersville, NJ 08012-0453
Phone (856) 740-4888

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.corda@ppma-nj.direct.office.nextgen.com

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
I20111221000465 NJ Practitioner - Pain Management 1759440639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Midwestern University, Chicago College of Osteopathic Med, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Pain Managment AssociatesGroup PAC ID 3577741743, 5 clinicians

Practice addresses (Care Compare)

2007 N Black Horse Pike
Williamstown, NJ 08094-9120
Phone (856) 740-4888

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB04459800NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Pain Managment Associates Anesthesiology CurrentSince Jul 17, 1989 Accepting new patients
Surgi Group LLC Current Accepting new patients
Professional Pain Managment Associates, PC Past Accepting new patients
Professional Pain Management Assoc Past Accepting new patients

Locations

110 Harbor Ln
Somers Point, NJ 08244
Phone (609) 653-9110

2007 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 296-9616

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: peter.corda@ppma-nj.direct.office.nextgen.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1861477192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8890",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080120453",
            "telephone_number": "856-740-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949120",
            "telephone_number": "856-740-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDA",
        "first_name": "PETER",
        "middle_name": "DENNIS",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MB04459800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.corda@ppma-nj.direct.office.nextgen.com",
            "affiliation": "N",
            "address_1": "2007 N Black Horse Pike",
            "city": "Williamstown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080949120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Williamstown, NJ

Sources for this page

Verify at the official NPI Registry.