Active NPI
Judith Cornely, DO
- Pediatrics Physician
- Boynton Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS 10857
- Practice address
- 2828 S Seacrest Blvd
Suite 214
Boynton Beach, FL 33435-7944 - Phone
- (561) 734-1888
- Fax
- (561) 734-8274
- NPI assigned
- Apr 11, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS 10857 | FL | Primary |
Addresses
Primary practice location
2828 S Seacrest Blvd
Suite 214
Boynton Beach, FL 33435-7944
Mailing address
2828 S Seacrest Blvd
Suite 214
Boynton Beach, FL 33435-7944
Other practice location 1
4400 N State Road 7
Lauderdale Lakes, FL 33319-5862
Phone (954) 486-8020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002037400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 10857 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Pediatrics of Broward LLC | Pediatrics | Current | Accepting new patients |
| Phoenix Pediatrics of Broward LLC | Pediatrics | Current | Accepting new patients |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Phoenix Emergency Medicine of Broward LLC | Current | Accepting new patients | |
| Saltzman, Tanis, Pittell, Levin and Jacobson | Pediatrics | Past | Accepting new patients |
| Saltzman, Tanis, Pittel, Levin and Jacobson, LLC | Pediatrics | Past | Accepting new patients |
Locations
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
3114 Croasdaile Dr
#200
Durham, NC 27705
Phone (877) 751-1157
Interoperability endpoints
- judith.cornely.1@14931.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Emergency Medicine Physician
- Coral Springs, FL
- NPI 1871542969
-
- Pediatrics Physician
- Ft Lauderdale, FL
- NPI 1619970498
-
- Emergency Medicine Physician
- Deerfield Beach, FL
- NPI 1407805591
-
- Emergency Medicine Physician
- Ft Lauderdale, FL
- NPI 1992708887
-
- Pediatrics Physician
- Coral Springs, FL
- NPI 1508815655
-
- Pediatrics Physician
- Lauderdale Lakes, FL
- NPI 1972711489
-
- Pediatrics Physician
- Hollywood, FL
- NPI 1639138480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1285950667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 S SEACREST BLVD",
"address_2": "SUITE 214",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 S SEACREST BLVD",
"address_2": "SUITE 214",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334357944",
"telephone_number": "561-734-1888",
"fax_number": "561-734-8274"
}
],
"practiceLocations": [
{
"address_1": "4400 N State Road 7",
"address_purpose": "LOCATION",
"city": "Lauderdale Lakes",
"state": "FL",
"postal_code": "333195862",
"country_code": "US",
"telephone_number": "954-486-8020",
"fax_number": "954-486-8983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORNELY",
"first_name": "JUDITH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-11",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "OS 10857",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002037400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
- Cora Health Services, Inc.
- Cora Health Services, Inc.
- Michael Andrew Corbin, R.PH.
- Raquel I Cordoves-Marchese, RD LDN
- Core Chiropractic, LLC
- Daniel Omar Cornide, LMHC, CAP
- Leidy Coronado Soto
- Silvia Patricia Coronel-Figueroa, MD
- Corporate Care International, Inc.
- Corporate Consulting & Coaching, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.