NPIMap

Individual provider Active NPI

Jennifer Cornelius, MD

  • General Practice Physician
  • Rowley, MA
National Provider Identifier
1700311693
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
C1-0005427 Issued in DE
Practice address
41 Emily LN
Rowley, MA 01969-2235
Phone
(207) 606-9095
NPI assigned
Apr 27, 2017
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0100823 MD
General Practice Physician 208D00000X 0101282052 VA
General Practice Physician 208D00000X MD210011857 DC
General Practice Physician 208D00000X 325643 NY
General Practice Physician 208D00000X L5708 TX
General Practice Physician 208D00000X TPME5944 FL
General Practice Physician 208D00000X 2024-03133 NC
General Practice Physician 208D00000X 102237 GA
General Practice Physician 208D00000X C1-0005427 DE Primary

Addresses

Primary practice location

41 Emily LN
Rowley, MA 01969-2235

Mailing address

41 Emily LN
Rowley, MA 01969-2235
Phone (207) 606-9095

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD210011857DCMDGeneral Practice Physician
C1-0005427DEMDGeneral Practice Physician
TPME5944FLMDGeneral Practice Physician
102237GAMDGeneral Practice Physician
D0100823MDMDGeneral Practice Physician
2024-03133NCMDGeneral Practice Physician
325643NYMDGeneral Practice Physician
L5708TXMDGeneral Practice Physician
0101282052VAMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1700311693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EMILY LN",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692235",
            "telephone_number": "207-606-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EMILY LN",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019692235",
            "telephone_number": "207-606-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNELIUS",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0100823",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101282052",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DC",
            "license": "MD210011857",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "325643",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "L5708",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "TPME5944",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2024-03133",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "102237",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "DE",
            "license": "C1-0005427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowley, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.