Individual provider Active NPI

Richard B Cornfield, MD

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1073602595
Registry record updated Nov 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD011771E Issued in PA
Practice address
29 Bala Ave
Suite 222
Bala Cynwyd, PA 19004-3209
Phone
(610) 864-5512
Fax
(484) 270-8332
NPI assigned
Oct 12, 2006
Last updated
Nov 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD011771E PA Primary

Addresses

Primary practice location

29 Bala Ave
Suite 222
Bala Cynwyd, PA 19004-3209

Mailing address

29 Bala Ave
Suite 222
Bala Cynwyd, PA 19004-3209
Phone (610) 864-5512

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000316 PA Practitioner - PsychiatryPractitioner - Neurosurgery 6709832793 Reassigns benefits to 3 organizations
Practice locations: Bala Cynwyd, PA; Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurosurgery
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Medical CorporationGroup PAC ID 6305382441, 2 clinicians

Practice addresses (Care Compare)

3845 Berkley Rd
Bensalem, PA 19020-1403

3848 Berkley Rd
Bensalem, PA 19020-1403

4 Neshaminy Interplex Dr
Suite 101
Feasterville Trevose, PA 19053-6940
Phone (215) 294-6790

9150 Marshall St
Suite 5
Philadelphia, PA 19114-2217
Phone (215) 294-6790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Medical Corporation Psychiatry CurrentSince Sep 1, 2024 Accepting new patients
Land Medical, Inc. CurrentSince Aug 6, 2012 Accepting new patients
Sakya LLC Psychiatry Past Accepting new patients

Locations

1333 S 49th St
Philadelphia, PA 19143
Phone (302) 983-0571

9150 Marshall St
Ste 5
Philadelphia, PA 19114
Phone (215) 294-6790

4 Neshaminy Interplex Dr
Ste 101
Trevose, PA 19053
Phone (215) 294-6790

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1073602595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BALA AVE",
            "address_2": "SUITE 222",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043209",
            "telephone_number": "610-864-5512",
            "fax_number": "484-270-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BALA AVE",
            "address_2": "SUITE 222",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190043209",
            "telephone_number": "610-864-5512",
            "fax_number": "484-270-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFIELD",
        "first_name": "RICHARD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD011771E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

Verify at the official NPI Registry.