MR. ANTHONY JOHN CORDISCO
NPI 1003565136
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Q: What is Anthony Cordisco's NPI number?

The NPI number for Anthony Cordisco is 1003565136. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Q: What is Anthony Cordisco's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Cordisco was last updated on March 23, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 23, 2022PECOS Enrolled

800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 316-5151 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Anthony John Cordisco NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANTHONY JOHN CORDISCO (NPI 1003565136) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003565136

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. ANTHONY JOHN CORDISCO

Location Address800 SPRUCE STPhiladelphia, PA 19107-6130

Mailing Address800 Spruce StPhiladelphia, PA 19107-6130

Phone(215) 316-5151

Sole ProprietorNo

Enumeration DateMarch 23, 2022

NPPES CertifiedMarch 23, 2022

✔ NPI 1003565136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

800 SPRUCE ST, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Anthony John Cordisco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.