Active NPI
Corinne Rock Malmberg, APN-C
- Primary Care Nurse Practitioner
- Toms River, NJ
National Provider Identifier
1023054574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NN064583000
- Practice address
- 67 Route 37 W
Riverwood II
Toms River, NJ 08755-6400 - Phone
- (732) 557-3530
- Fax
- (732) 557-3540
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 26NN064583000 | NJ | Primary |
Addresses
Primary practice location
67 Route 37 W
Riverwood II
Toms River, NJ 08755-6400
Mailing address
67 Route 37 W
Riverwood II Suite 303
Toms River, NJ 08755-6400
Phone (732) 557-3530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8069000 | Medicaid | NJ |
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN064583000 | NJ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Developmental Disabilities Health Alliance, Inc | Past | Accepting new patients | |
| The Arc Ocean County Chapter, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Bloomfield, NJ
- NPI 1639404486
-
- Developmental Disabilities Clinic/Center
- Lakewood, NJ
- NPI 1922692722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1023054574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 ROUTE 37 W",
"address_2": "RIVERWOOD II SUITE 303",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556400",
"telephone_number": "732-557-3530",
"fax_number": "732-557-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67 ROUTE 37 W",
"address_2": "RIVERWOOD II",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087556400",
"telephone_number": "732-557-3530",
"fax_number": "732-557-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALMBERG",
"first_name": "CORINNE",
"middle_name": "ROCK",
"credential": "APN-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NN064583000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8069000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.