Carla Deborah Corkin, DIP. AC MSAOM, MSA

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

2517 RT 35 Valley Park
Building B Suite 101
Manasquan, NJ 08736-0872

Phone

(732) 303-4172

NPI assigned

Oct 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Mrs. Carla Deborah Newman-Corkin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1437401577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BRADLEY AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087248137",
            "telephone_number": "732-303-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 RT 35 VALLEY PARK",
            "address_2": "BUILDING B SUITE 101",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087360872",
            "telephone_number": "732-303-4172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 Bennetts Mills Rd",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "NJ",
            "postal_code": "085273850",
            "country_code": "US",
            "telephone_number": "732-415-1401",
            "fax_number": "732-415-1403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORKIN",
        "first_name": "CARLA",
        "middle_name": "DEBORAH",
        "name_prefix": "Mrs.",
        "credential": "DIP. AC MSAOM, MSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-14",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00094700",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION COMMISSION FOR ACUPUNCTURE AND ORIENTAL MEDICINE -NCCAOM",
            "identifier": "139486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY STATE LICENSE",
            "identifier": "25MZ00094700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "NEWMAN-CORKIN",
            "middle_name": "DEBORAH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Manasquan, NJ
• Acupuncturist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.