Michael Patrick Cornely, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00350700 Issued in NJ

Practice address

5635 Westfield Ave
Suite 4
Pennsauken, NJ 08110-1853

Phone

(856) 662-8866

Fax

(856) 662-8855

NPI assigned

Jan 13, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326199803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FITHIAN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081092604",
            "telephone_number": "856-662-8866",
            "fax_number": "856-662-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 WESTFIELD AVE",
            "address_2": "SUITE 4",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081101853",
            "telephone_number": "856-662-8866",
            "fax_number": "856-662-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELY",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00350700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cooper House Women's Recovery Program
• Cooper River Eye Associates
• Cooper River Garden Group LLC (River Front Rehabilitation & Healthcare Center)
• Reagan E Copeland, LCSW
• Lois A Corbi, PT
• Amanda Cortes
• Ashley Coston
• Countrywide Home Care, Inc.
• County Care LLC
• Florissa Crawford

• Chiropractor in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.