Organization Active NPI

Steven J. Cornell, DPM

  • Durable Medical Equipment & Medical Supplies
  • Poughkeepsie, NY
National Provider Identifier
1669654273
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N003227 Issued in NY
Legal business name
STEVEN J. CORNELL, DPM
Practice address
387 Hooker Ave
Poughkeepsie, NY 12603-3631
Phone
(845) 485-5700
Fax
(845) 876-7878
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Dr. Steven J Cornell, DPMNPI 1639147663
Title
Podiatrist/Owner
Phone
(845) 485-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N003227 NY Primary

Addresses

Primary practice location

387 Hooker Ave
Poughkeepsie, NY 12603-3631

Mailing address

387 Hooker Ave
Poughkeepsie, NY 12603-3631
Phone (845) 485-5700

Other identifiers 1

IdentifierTypeStateIssuer
00635227MedicaidNY

National Provider Directory

National Provider Directory

Locations

387 Hooker Ave
Poughkeepsie, NY 12603
Phone (845) 452-2102

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1669654273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033631",
            "telephone_number": "845-485-5700",
            "fax_number": "845-876-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033631",
            "telephone_number": "845-485-5700",
            "fax_number": "845-876-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. CORNELL, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "845-485-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N003227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00635227",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.