Individual provider Active NPI

Cynthia Jeanne Cornelius, D.P.M.

  • Podiatrist
  • Brookfield, CT
National Provider Identifier
1235287079
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
N004611 Issued in NY
Practice address
246 Federal Rd
Ste C21
Brookfield, CT 06804-2647
Phone
(203) 740-8637
Fax
(203) 740-8750
NPI assigned
Jan 8, 2007
Last updated
Aug 25, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X N004611 NY Primary

Addresses

Primary practice location

246 Federal Rd
Ste C21
Brookfield, CT 06804-2647

Mailing address

246 Federal Rd
Ste C21
Brookfield, CT 06804-2647
Phone (203) 740-8637

Other names 1

  • Cynthia Jeanne Vonwnuck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000582 CT Practitioner - Podiatry 2961595145 Reassigns benefits to 1 organization
Practice locations: Brookfield, CT

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

246 Federal Rd
C21
Brookfield, CT 06804-2647
Phone (203) 740-8637

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue318
Removal or shaving of skin growth253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N004611NYMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Hospital Current Accepting new patients
Danbury Hospital CurrentSince Aug 16, 2009 Accepting new patients

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1235287079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "STE C21",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-740-8637",
            "fax_number": "203-740-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 FEDERAL RD",
            "address_2": "STE C21",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042647",
            "telephone_number": "203-740-8637",
            "fax_number": "203-740-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "CYNTHIA",
        "middle_name": "JEANNE",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N004611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "VONWNUCK",
            "middle_name": "JEANNE",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brookfield, CT

Sources for this page

Verify at the official NPI Registry.