Organization Active NPI

Peter M Corrado PC

  • Family Medicine Physician
  • Cape May Court House, NJ
National Provider Identifier
1922029842
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB49801 Issued in NJ
Legal business name
PETER M CORRADO PC
Practice address
108 N Main St
Suite 3
Cape May Court House, NJ 08210-2190
Phone
(609) 463-9960
Fax
(609) 463-9980
NPI assigned
Jul 23, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Peter Corrado, D.O.NPI 1972553436
Title
Owner
Phone
(609) 463-9960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB49801 NJ Primary

Addresses

Primary practice location

108 N Main St
Suite 3
Cape May Court House, NJ 08210-2190

Mailing address

108 N Main St
Suite 3
Cape May Court House, NJ 08210-2190
Phone (609) 463-9960

Other identifiers 7

IdentifierTypeStateIssuer
0868042001OtherNJAMERIHEALTH
P2522550OtherNJOXFORD
080171611OtherNJRAILROAD MEDICARE
1140431OtherNJHORIZON MERCY HEALTH PLAN
2494809MedicaidNJ
2539071OtherNJAETNA US HEALTHCARE
0868042001OtherNJKEYSTONE MERCY HEALTH PLN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140219000563 NJ Part B Supplier - Clinic/Group Practice 8628207586 Receives reassigned benefits from 1 practitioner
Practice locations: Cape May Court House, NJ

National Provider Directory

National Provider Directory

Locations

108 N Main St
Ste 3
Cape May Court House, NJ 08210
Phone (609) 463-9960

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1922029842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102190",
            "telephone_number": "609-463-9960",
            "fax_number": "609-463-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N MAIN ST",
            "address_2": "SUITE 3",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102190",
            "telephone_number": "609-463-9960",
            "fax_number": "609-463-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M CORRADO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "CORRADO",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-463-9960",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB49801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0868042001",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2522550",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080171611",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON MERCY HEALTH PLAN",
            "identifier": "1140431",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2494809",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "2539071",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLN",
            "identifier": "0868042001",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.