Cornell Healthcare Corp
Organization Active NPI Durable Medical Equipment & Medical Supplies · Middlesex, NJ
NPI 1477549657 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1477549657
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- CORNELL HEALTHCARE CORP
- Practice address
- 368 Lincoln Blvd
Middlesex, NJ 08846-2372 - Phone
- (732) 247-6666
- Fax
- (732) 247-6664
- NPI assigned
- Sep 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Cristina A Batista
- Title
- President
- Phone
- (732) 247-6666
Practitioners 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Cornell Healthcare Corp |
Commodes, Urinals, Bedpans|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchairs (Standard Power)|Wheelchairs (Standard Power Related Accessories)|Wheelchair Seating/Cushions | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181009003201 | NJ | DME Supplier - Medical Supply Company | 7911259502 | Practice locations: Middlesex, NJ |
National Provider Directory
Locations
368 Lincoln Blvd
Middlesex, NJ 08846
Phone (732) 247-6666
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
368 Lincoln Blvd
Middlesex, NJ 08846-2372
Mailing address
368 Lincoln Blvd
Middlesex, NJ 08846-2372
Phone (732) 247-6666
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205566 | Other | PA | HIMARK BLUE CROSS |
| 6910301 | Medicaid | NJ | |
| 30005813 | Other | PA | KEYSTONE MERCY |
| 9016267 | Other | CIGNA | |
| 003099688 | Medicaid | CT | |
| 0114834 | Medicaid | OH | |
| 0015782100003 | Medicaid | PA | |
| 1152976 | Other | NJ | HORIZON NJ HEALTH |
| 1538865 | Other | GATEWAY | |
| 175614 | Other | ELDER PLAN | |
| 4542042 | Medicaid | MI | |
| 01650655 | Medicaid | NY | |
| A2521948 | Other | OXFORD |
Other names
- Mr Mobility
- Mr. Mobility
Other providers in Middlesex, NJ
- Alexa Cesaro
- CFNT LLC
- Charanpreet Singh DMD,PA
- Taylor Gregory Clough
- Jenna Marie Colacci
- Counseling Center at Clark, LLC
- Bahijah D. Sheibanee
- Safiya Danso
- Eliza Marie Reyes De Guzman
- Dedicated Modern Dentistry PC
All providers in Middlesex, NJ · Durable Medical Equipment & Medical Supplies in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.