Roberto Cornielle, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02322400 Issued in NJ

Practice address

407 E 30TH St # 2
Paterson, NJ 07504-1635

Phone

(201) 790-7943

NPI assigned

Jun 9, 2025

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

Other names 1

• Roberto Cornielle Professional name

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Webuzzin Physical Therapy

  • Physical Therapist
  • Paterson, NJ
  • NPI 1922988088
  Medicare reassignment NPD Authorized official
• Mobile Therapy Services, Inc.

  • Physical Therapist
  • Ocean, NJ
  • NPI 1326495615
  Medicare reassignment NPD

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1497649925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E 30TH ST # 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041635",
            "telephone_number": "201-790-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E 30TH ST # 2",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075041635",
            "telephone_number": "201-790-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNIELLE",
        "first_name": "ROBERTO",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02322400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERTO",
            "last_name": "CORNIELLE",
            "credential": "ROBERTO CORNIELLE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nurefsan Copur, DNP, CNM
• Coral Diagnostics, LLC
• Alexis Corazon, MD
• Gabriella Corbin, PA-C
• Damarys Cordero
• Lorraine Cornwell, MD
• Daria Ann Costa, DO
• Whitney Andrea Costa
• Kristen Marie Couce, LCSW
• County Invalid Coach Inc

• Physical Therapist in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.