Active NPI
Corr Health Ec, PC
- Primary Care Clinic/Center
- Toms River, NJ
National Provider Identifier
1386514156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CORR HEALTH EC, PC
- Practice address
- 1400 Hooper Ave
Toms River, NJ 08753-2981 - Phone
- (732) 523-2886
- NPI assigned
- Nov 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonathan Paull
- Title
- Administrator
- Phone
- (646) 830-8707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
1400 Hooper Ave
Toms River, NJ 08753-2981
Mailing address
961 Broadway Ste 103
Woodmere, NY 11598-1733
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260107002568 | NJ | Part B Supplier - Clinic/Group Practice | 4789160060 |
Receives reassigned benefits from 2 practitioners Practice locations: Toms River, NJ |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Corr Health Ec PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Woodmere, NY
- NPI 1639035447
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762473600000",
"number": "1386514156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 BROADWAY STE 103",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HOOPER AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087532981",
"telephone_number": "732-523-2886"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORR HEALTH EC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A",
"authorized_official_last_name": "PAULL",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "646-830-8707"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.