Individual provider Active NPI

Corinne Rock Malmberg, APN-C

  • Primary Care Nurse Practitioner
  • Toms River, NJ
National Provider Identifier
1023054574
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NN064583000 Issued in NJ
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

Updated by the provider on May 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8069000MedicaidNJ

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

LicenseStateTypeSpecialty
26NN064583000NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.