Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255408365 Individual Practitioner Male Practitioner

Dr. Jorge Luis Cornielle , MD

Pediatrics • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Cornielle, MD is a registered healthcare professional specializing in Pediatrics in Bronx, NY. Practice services are available at 1262 BOSTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1262 Boston Rd

Bronx, NY 104563602

Telephone 7186172500
Fax 7186170500
Associated Practice Facility / Clinic
🏢 Boston Pediatrics, Pllc Facility NPI 1275724767

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.7 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
590 Specialists

Practicing in Bronx, NY (6127 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NY 214716

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02087341 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1154725968

Doctor of Medicine (M.D.)

Romy Fabal , FNP

Nurse Practitioner - Family

NPI 1295449577

Family Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2011

Registered at 1262 BOSTON RD, BRONX, NY 104563602 (Tel: 7186172500)

📍
Updated Business Mailing Address December 08, 2011

Registered at 102 PRINCETON DR, TAPPAN, NY 109831026 (Tel: 8453983043)

👤
Provider Name / Credentials Updated December 08, 2011

Recorded as JORGE CORNIELLE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2011

Pediatrics (License #214716 in NY)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255408365
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: December 08, 2011
Sole Proprietor: Yes

Mailing Address

102 Princeton Dr

Tappan, NY 109831026

Phone: 8453983043

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.