Louis G Cornacchia III, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

203236 Issued in NY

Practice address

411 State RT 17 Ste 110
Hasbrouck Heights, NJ 07604-3016

Phone

(516) 255-0350

NPI assigned

Jul 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Apteum LLC

  • Neurological Surgery Physician
  • Point Lookout, NY
  • NPI 1346838273

  NJ

  Medicare reassignment NPD
• New York Queens Medicine and Surgery, P.C.

  • Pediatrics Physician
  • Fresh Meadows, NY
  • NPI 1003114851
  Medicare reassignment NPD
• New York Neurosurgery & Neuroscience Associates

  • Specialist
  • Point Lookout, NY
  • NPI 1962452326
  NPD (past) Authorized official
• New York Queens Medicine and Surgery, P.C.

  • Multi-Specialty Clinic/Center
  • Flushing, NY
  • NPI 1740792233
  NPD

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1184622128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 OCEAN BLVD",
            "city": "POINT LOOKOUT",
            "state": "NY",
            "postal_code": "115693029",
            "telephone_number": "516-255-0350",
            "fax_number": "516-240-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 STATE RT 17 STE 110",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043016",
            "telephone_number": "516-255-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNACCHIA",
        "first_name": "LOUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "203236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Chong
• Clarity Autism Center for Diagnostic Evaluations LLC
• Eidelheide Batane Cobcobo, COTA/L
• Comprehensive Spinal Solutions
• Cor Behavioral Group LLC
• David F Porter D.O., P.a.
• Eileen Delaney, APN C
• Delcalzo Spine and Wellness Center
• Michael John Delgiodice, OD
• Michael Denichilo, LCSW

• Specialist in Hasbrouck Heights, NJ
• Providers in Hasbrouck Heights, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.