Active NPIIndividual providerSole proprietor

Corina M Ianculovici, APRN, AG-PCP

Nurse Practitioner, Primary Care in Manasquan, New Jersey

NPI Number1053818559
Practice location
2640 Hwy 70, Bldg.5, Building #5, Suite 102B, Manasquan, NJ 08736-9552
Fax
732-292-0900
Last updated
October 3, 2018

Corina M Ianculovici is a Nurse Practitioner, Primary Care based in Manasquan, NJ. Corina M Ianculovici practices in Manasquan, NJ and has the professional credentials of APRN, AG-PCP. The NPI Number for Corina M Ianculovici is 1053818559 and holds a License No. 26NJ00862000 (NJ). The current practice location address for Corina M Ianculovici is 2640 Hwy 70, Bldg.5, Building #5, Suite 102B, Manasquan, NJ 08736-9552 and can be reached out via phone at 732-292-0100 and via fax at 732-292-0900.

Provider Profile Details

NPI Number
1053818559
Provider Name
Corina M Ianculovici
Credential
APRN, AG-PCP
Provider Entity Type
Individual
Gender
Female
Address
2640 Hwy 70, Bldg.5, Building #5, Suite 102B, Manasquan, NJ 08736-9552
Phone Number
732-292-0100
Fax Number
732-292-0900
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
April 11, 2018
Last Update Date
October 3, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
2640 Hwy 70, Bldg.5
Building #5, Suite 102B
Manasquan, NJ 08736-9552
Zip
08736-9552
Phone Number
732-292-0100
Fax Number
732-292-0900
Manasquan, NJ 08736Get directions →

Provider Business Mailing Address Details

Address
2640 Hwy 70, Bldg.5
Building #5, Suite 102B
Manasquan, NJ 08736-9552
City
Manasquan
State
NJ
Zip
08736-9552
Phone Number
347-539-6369

License Information

License Number (1)
26NJ00862000
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Gerontology · 363LG0600X
License Number (2)
26NJ00862000
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corina M Ianculovici, APRN, AG-PCP?

The NPI number of Corina M Ianculovici, APRN, AG-PCP is 1053818559. It was assigned on April 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Corina M Ianculovici, APRN, AG-PCP?

Corina M Ianculovici, APRN, AG-PCP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NJ00862000.

Where does Corina M Ianculovici, APRN, AG-PCP practice?

The practice location is 2640 Hwy 70, Bldg.5, Building #5, Suite 102B, Manasquan, NJ 08736-9552. The office can be reached at 732-292-0100 (phone) or 732-292-0900 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053818559 directly on the NPPES registry website.

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