Healthcare Provider Details

I. General information

NPI: 1104488048
Provider Name (Legal Business Name): NORBERT CSORDAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2019
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 KINGS HWY S STE 2101
CHERRY HILL NJ
08034-2524
US

IV. Provider business mailing address

1010 KINGS HWY S STE 2101
CHERRY HILL NJ
08034-2524
US

V. Phone/Fax

Practice location:
  • Phone: 856-208-7300
  • Fax: 856-254-0019
Mailing address:
  • Phone: 856-208-7300
  • Fax: 856-254-0019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number26NR20017400
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number26NJ00971300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: