Organization Active NPI

Cornel Dumitriu MD

  • Specialist
  • Bronx, NY
National Provider Identifier
1164623492
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
120111 Issued in NY
Legal business name
CORNEL DUMITRIU MD
Practice address
4525 Henry Hudson Pkwy
Suite 1004
Bronx, NY 10471-3808
Phone
(718) 728-5529
NPI assigned
May 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cornel Dumitriu, M.D.
Title
Medical Doctor
Phone
(718) 728-5529

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 120111 NY Primary

Addresses

Primary practice location

4525 Henry Hudson Pkwy
Suite 1004
Bronx, NY 10471-3808

Mailing address

4525 Henry Hudson Pkwy
Suite 1004
Bronx, NY 10471-3808
Phone (718) 728-5529

Other identifiers 1

IdentifierTypeStateIssuer
00225549MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164623492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 HENRY HUDSON PKWY",
            "address_2": "SUITE 1004",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713808",
            "telephone_number": "718-728-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 HENRY HUDSON PKWY",
            "address_2": "SUITE 1004",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104713808",
            "telephone_number": "718-728-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNEL DUMITRIU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMITRIU",
        "authorized_official_first_name": "CORNEL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "718-728-5529",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "120111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00225549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.