Individual provider Active NPI

Ralph B Korkor, M.D.

  • Colon & Rectal Surgery Physician
  • Hamilton, NJ
National Provider Identifier
1932260015
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA03608700 Issued in NJ
Practice address
994 White Horse Ave
Hamilton Medical Building
Hamilton, NJ 08610-1428
Phone
(609) 585-4100
Fax
(609) 585-4106
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MA03608700 NJ Primary

Addresses

Primary practice location

994 White Horse Ave
Hamilton Medical Building
Hamilton, NJ 08610-1428

Mailing address

PO Box 3207
Mercerville, NJ 08619-0207
Phone (609) 585-4100

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
25MA03608700NJMDColon & Rectal Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932260015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3207",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086190207",
            "telephone_number": "609-585-4100",
            "fax_number": "609-585-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "994 WHITE HORSE AVE",
            "address_2": "HAMILTON MEDICAL BUILDING",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101428",
            "telephone_number": "609-585-4100",
            "fax_number": "609-585-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORKOR",
        "first_name": "RALPH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA03608700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.