Active NPI
Anthony J Cordisco, DPM
- Foot Surgery Podiatrist
- Burlington, NJ
National Provider Identifier
1962489344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 25MD00157400
- Practice address
- 1105 Sunset Rd
Coopertown Plaza
Burlington, NJ 08016-2290 - Phone
- (609) 386-7807
- Fax
- (609) 386-6065
- NPI assigned
- Dec 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 25MD00157400 | NJ | Primary |
Addresses
Primary practice location
1105 Sunset Rd
Coopertown Plaza
Burlington, NJ 08016-2290
Mailing address
1105 Sunset Rd
Coopertown Plaza
Burlington, NJ 08016-2290
Phone (609) 386-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2169703 | Medicaid | NJ |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110216000519 | NJ | Practitioner - Podiatry | 2961615919 | Practice locations: Burlington, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1105 Sunset Rd
Burlington, NJ 08016-2290
Phone (609) 386-7807
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 3345 |
| Removal or shaving of skin growth | 2052 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MD00157400 | NJ | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anthony J. Cordisco, DPM | Foot Surgery | Current | Accepting new patients |
Locations
1105 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-9242
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1962489344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SUNSET RD",
"address_2": "COOPERTOWN PLAZA",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162290",
"telephone_number": "609-386-7807",
"fax_number": "609-386-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 SUNSET RD",
"address_2": "COOPERTOWN PLAZA",
"city": "BURLINGTON",
"state": "NJ",
"postal_code": "080162290",
"telephone_number": "609-386-7807",
"fax_number": "609-386-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDISCO",
"first_name": "ANTHONY",
"middle_name": "J",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NJ",
"license": "25MD00157400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2169703",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.