Individual provider Active NPI

Dennis Borek Cornfield, M.D.

  • Anatomic Pathology Physician
  • Glenside, PA
National Provider Identifier
1710075668
Registry record updated Jul 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD011141E Issued in PA
Practice address
509 Bridle Rd.
Glenside, PA 19038-2001
Phone
(215) 572-5916
NPI assigned
Oct 10, 2006
Last updated
Jul 15, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD011141E PA
Hematology (Pathology) Physician 207ZH0000X MD011141E PA
Anatomic Pathology Physician 207ZP0101X MD011141E PA Primary

Addresses

Primary practice location

509 Bridle Rd.
Glenside, PA 19038-2001

Mailing address

509 Bridle Rd.
Glenside, PA 19038-2001
Phone (215) 572-5916

Other identifiers 1

IdentifierTypeStateIssuer
MD011141EOtherPASTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1710075668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 BRIDLE RD.",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382001",
            "telephone_number": "215-572-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BRIDLE RD.",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190382001",
            "telephone_number": "215-572-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORNFIELD",
        "first_name": "DENNIS",
        "middle_name": "BOREK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD011141E",
            "primary": false
        },
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "PA",
            "license": "MD011141E",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PA",
            "license": "MD011141E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD011141E",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenside, PA

Sources for this page

Verify at the official NPI Registry.