Active NPI
Dennis Borek Cornfield, M.D.
- Anatomic Pathology Physician
- Glenside, PA
National Provider Identifier
1710075668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD011141E
- Practice address
- 509 Bridle Rd.
Glenside, PA 19038-2001 - Phone
- (215) 572-5916
- NPI assigned
- Oct 10, 2006
- Last updated
- Jul 15, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD011141E | Other | PA | STATE 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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.