Individual provider Active NPI

Mark S Corkin, D.C.

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1043445752
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00697200 Issued in NJ
Practice address
2517 Route 35 Ste B101
Manasquan, NJ 08736-1905
Phone
(732) 303-4172
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011829-1 NY
Chiropractor 111N00000X 38MC00697200 NJ Primary

Addresses

Primary practice location

2517 Route 35 Ste B101
Manasquan, NJ 08736-1905

Mailing address

2517 Route 35
Building B, Suite 201
Manasquan, NJ 08736
Phone (732) 303-4172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160223001932 NJ Practitioner - Chiropractic 6901098482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2517 Route 35
Suite B201
Manasquan, NJ 08736-1923
Phone (201) 467-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
X011829-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthworks Chiropractic Chiropractor CurrentSince Jun 9, 2024 Accepting new patients
Corkin Chiropractic Chiropractor PastSince Jul 19, 2010 Accepting new patients
Corkin Chiropractic Chiropractor PastSince Jul 19, 2010 Accepting new patients
Somerset County Chiropractic Center, P.a. Chiropractor Past Accepting new patients
Alexander J. Kishyk, D.C. LLC Chiropractor PastSince Feb 15, 2017 Accepting new patients

Locations

2517 Route 35
Ste B201
Manasquan, NJ 08736
Phone (201) 467-1771

Organizations & group practices 5

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1043445752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 ROUTE 35",
            "address_2": "BUILDING B, SUITE 201",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "08736",
            "telephone_number": "732-303-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 ROUTE 35 STE B101",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361905",
            "telephone_number": "732-303-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORKIN",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011829-1",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00697200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.