Cornell Medical, PC

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

License

167790 Issued in NY

Legal business name

CORNELL MEDICAL, PC

Practice address

13618 39TH Ave
Suite 906
Flushing, NY 11354-5516

Phone

(718) 961-8817

Fax

(718) 961-8815

NPI assigned

Jan 3, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Raquel G Kelly

Title

Office Manager

Phone

(718) 961-8817

Specialties & licenses 7

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jayasekharan Komerath, M.D.

  • Internal Medicine Physician
  • Flushing, NY
  • NPI 1285656116
  NPD (past)
• Oved Oquendo, L, RT

  • Radiography Radiologic Technologist
  • Flushing, NY
  • NPI 1134322795
  NPD (past)
• Whilma Maniti, P.T.

  • Physical Therapist
  • Newark, NJ
  • NPI 1518989441
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649337890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE",
            "address_2": "SUITE 906",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545516",
            "telephone_number": "718-961-8817",
            "fax_number": "718-961-8815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13618 39TH AVE",
            "address_2": "SUITE 906",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545516",
            "telephone_number": "718-961-8817",
            "fax_number": "718-961-8815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNELL MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "718-961-8817",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "001367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "130031",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "167790",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022580",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NY",
            "license": "167790",
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NY",
            "license": "167790",
            "primary": true
        },
        {
            "code": "2471C3402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiologic Technologist, Radiography",
            "state": "NY",
            "license": "107344-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura A Coppola
• Chenice Ruchelle Coq, RN
• Sandra Edith Cordoba Vargas, MD
• Core Alliance Physical Therapy,PLLC
• Louis Thomas Cornacchia, M.D.
• Cornerstone Chiropractic P.C.
• Cornerstone of Medical Arts Center Hospital
• Steve Corona Flores
• Jennifer Correa Gomez
• Louqueta Cort

• Electroneurodiagnostic Specialist/Technologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Electroneurodiagnostic Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.