Cornerstone Medical and Surgical Associates L.L.C.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

25MB06567300 Issued in NJ

Legal business name

CORNERSTONE MEDICAL AND SURGICAL ASSOCIATES L.L.C.

Practice address

54 Bey Lea Rd
Suite 3
Toms River, NJ 08753-2978

Phone

(732) 281-0100

Fax

(732) 281-0400

NPI assigned

Sep 20, 2016

Organization subpart

No

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

Authorized official

Name

Bruce Peters, D.O.

Title

Officer/Manager

Phone

(732) 281-0100

Specialties & licenses 8

Addresses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1457809402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532978",
            "telephone_number": "732-281-0100",
            "fax_number": "732-281-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 BEY LEA RD",
            "address_2": "SUITE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532978",
            "telephone_number": "732-281-0100",
            "fax_number": "732-281-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL AND SURGICAL ASSOCIATES L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OFFICER/MANAGER",
        "authorized_official_telephone_number": "732-281-0100",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MB05659300",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA03236800",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA08847700",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA0832810",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA07280500",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "NJ",
            "license": "25MA09358600",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NJ",
            "license": "25MB06567300",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00161000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Coppola, PA-C
• Dominique Coppolino, MSW, LCSW
• Gregory Joseph Coram, PSY.D. & APN-BC
• Richelle Corbo, LPC
• Russell John Cornell, M.D.
• Elaine Corona, LCSW
• Gabrielle Corpuz, PA-C
• Corr Health Ec, PC
• Jessica Michele Corring, MS-CCC SLP
• Alissa M Cortez, PA-C

• Otolaryngology/Facial Plastic Surgery Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Otolaryngology/Facial Plastic Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.