Cornerstone Medical Services PC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

0101250835 Issued in VA

Legal business name

CORNERSTONE MEDICAL SERVICES PC

Practice address

2337 Kew Gardens Dr
Woodbridge, VA 22191-6577

Phone

(646) 593-6787

NPI assigned

Apr 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Lily O Otolorin, M.D.,MBA,FACPNPI 1922323435

Title

Ceo

Phone

(646) 593-6787

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lily O Otolorin, M.D.

  • Hospitalist Physician
  • Woodbridge, VA
  • NPI 1922323435

  DC

  Medicare reassignment Authorized official
• Kyana Anthony, CRNP

  • Women's Health Nurse Practitioner
  • Falls Church, VA
  • NPI 1043456213
  Medicare reassignment
• Dana Gelb

  • Adult Health Nurse Practitioner
  • Alexandria, VA
  • NPI 1356995088

  DC

  Medicare reassignment
• Susan Marie Senko, DNP, AGNP-BC, APRN

  • Nurse Practitioner
  • Herndon, VA
  • NPI 1558838565
  Medicare reassignment
• Christina Marie Cardillo Tafe, ACNP

  • Nurse Practitioner
  • Falls Church, VA
  • NPI 1235398702
  Medicare reassignment
• Mariatu Kasim Turay

  • Gerontology Nurse Practitioner
  • Springfield, VA
  • NPI 1134881758

  DC

  Medicare reassignment
• John W Dunkle, MD

  • Family Medicine Physician
  • Denver, CO
  • NPI 1134118052

  VA

  Medicare reassignment

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1124482773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4212",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221944212",
            "telephone_number": "646-593-6787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 KEW GARDENS DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221916577",
            "telephone_number": "646-593-6787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-11",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "OTOLORIN",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-593-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,MBA,FACP"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "VA",
            "license": "0101250835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Coppage
• Coracol Medtrans LLC
• Lisa Cordova
• Corliss Gillespie, LLC
• Manolisa Tandoc Cornel-Manaloto, M.D.
• Cornerstone Supportive Care, LLC
• Christine Cortez
• Jeannine Reese Cosentino, LPC CSAC
• Costco Wholesale Corporation
• Costco Wholesale Corporation

• Hospice and Palliative Medicine (Internal Medicine) Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.

Verify at the official NPI Registry.