Active NPI
Matthew Michael Corbo, D.C.
- Chiropractor
- Linwood, NJ
National Provider Identifier
1104147388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00681400
- Practice address
- 2021 New Rd
Suite 17
Linwood, NJ 08221-1045 - Phone
- (609) 926-3777
- Fax
- (609) 926-1789
- NPI assigned
- Jun 22, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00681400 | NJ | Primary |
Addresses
Primary practice location
2021 New Rd
Suite 17
Linwood, NJ 08221-1045
Mailing address
2021 New Rd
Suite 17
Linwood, NJ 08221-1045
Phone (609) 926-3777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110407000912 | NJ | Practitioner - Chiropractic | 5698959146 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mainland Wellness and Rehabilitation Center,LLC
Practice addresses (Care Compare)
2021 New Rd
Suite 17
Linwood, NJ 08221-1045
Phone (609) 926-3777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00681400 | NJ | MD | Chiropractor |
Organizations & group practices 1
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": "1277164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277164800000",
"number": "1104147388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 NEW RD",
"address_2": "SUITE 17",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211045",
"telephone_number": "609-926-3777",
"fax_number": "609-926-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 NEW RD",
"address_2": "SUITE 17",
"city": "LINWOOD",
"state": "NJ",
"postal_code": "082211045",
"telephone_number": "609-926-3777",
"fax_number": "609-926-1789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBO",
"first_name": "MATTHEW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-22",
"last_updated": "2010-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00681400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Linwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.