Active NPI
Isabelita Cordoba,Mdpa
- Gastroenterology Physician
- Bayonne, NJ
National Provider Identifier
1992875223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- ISABELITA CORDOBA,MDPA
- Practice address
- 564 Broadway
Bayonne, NJ 07002-3825 - Phone
- (201) 436-8418
- Fax
- (908) 561-1803
- NPI assigned
- Nov 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Isabelita Ynigo Cordoba, M.D.
- Title
- President
- Phone
- (201) 436-8418
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
564 Broadway
Bayonne, NJ 07002-3825
Mailing address
39 Stratford Cir
Edison, NJ 08820-1813
Phone (908) 561-1803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2907003 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1289779200000",
"number": "1992875223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 STRATFORD CIR",
"city": "EDISON",
"state": "NJ",
"postal_code": "088201813",
"telephone_number": "908-561-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 BROADWAY",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070023825",
"telephone_number": "201-436-8418",
"fax_number": "908-561-1803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISABELITA CORDOBA,MDPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2010-11-15",
"status": "A",
"authorized_official_last_name": "CORDOBA",
"authorized_official_first_name": "ISABELITA",
"authorized_official_middle_name": "YNIGO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "201-436-8418",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2907003",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.