Active NPI
Martha Cornejo, DDS
- Dentist
- Hempstead, NY
National Provider Identifier
1336216753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0397731
- Practice address
- 230 Hilton Ave Suite 216
Hempstead, NY 11550 - Phone
- (516) 481-8906
- Fax
- (516) 489-5457
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 0397731 | NY | Primary |
Addresses
Primary practice location
230 Hilton Ave Suite 216
Hempstead, NY 11550
Mailing address
230 Hilton Ave Suite 216
Hempstead, NY 11550
Phone (516) 481-8906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0397731 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornejo Dental Office LLP | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Hempstead, NY
- NPI 1437226867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336216753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 HILTON AVE SUITE 216",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "11550",
"telephone_number": "516-481-8906",
"fax_number": "516-489-5457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 HILTON AVE SUITE 216",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "11550",
"telephone_number": "516-481-8906",
"fax_number": "516-489-5457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORNEJO",
"first_name": "MARTHA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "0397731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
Sources for this page
- 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.