NPIMap

Organization Active NPI

Corporate Care

  • Clinic/Center
  • Lakewood, NJ
National Provider Identifier
1174677264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
26NN08747500 Issued in NJ
Legal business name
CORPORATE CARE
Practice address
500 River Ave
Lakewood, NJ 08701-4721
Phone
(732) 363-1900
NPI assigned
Jan 23, 2007
Organization subpart
No

National Provider Directory

National Provider Directory
Tax ID family
Corporatecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Anthony Lombardino, M.D.
Title
V.P. of Medical Affairs
Phone
(732) 363-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 26NN08747500 NJ Primary

Addresses

Primary practice location

500 River Ave
Lakewood, NJ 08701-4721

Mailing address

415 Birch Bark Dr
Brick, NJ 08723-4903
Phone (732) 477-3334

Other names 1

  • kimball medical center Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174677264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 BIRCH BARK DR",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087234903",
            "telephone_number": "732-477-3334",
            "fax_number": "732-477-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RIVER AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014721",
            "telephone_number": "732-363-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOMBARDINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "V.P. OF MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "732-363-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "26NN08747500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kimball medical center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.