MEDICARE: CORNELL HEALTHCARE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	205566	OTHER	PA	HIMARK BLUE CROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	30005813	OTHER	PA	KEYSTONE MERCY
4	9016267	OTHER		CIGNA
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	1152976	OTHER	NJ	HORIZON NJ HEALTH
9	1538865	OTHER		GATEWAY
10	175614	OTHER		ELDER PLAN
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	A2521948	OTHER		OXFORD

General Provider Information

NPI Number	:	1477549657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CORNELL HEALTHCARE CORP

Provider Business Mailing Address
First Line	:	368 LINCOLN BLVD
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-2372
Country	:	US
Telephone Number	:	732-247-6666
Fax Number	:	732-247-6664

Provider Business Practice Location Address
First Line	:	368 LINCOLN BLVD
Second Line	:
City	:	MIDDLESEX
State	:	NJ
Zip	:	08846-2372
Country	:	US
Telephone Number	:	732-247-6666
Fax Number	:	732-247-6664

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CRISTINA A BATISTA
Credential	:
Telephone Number	:	732-247-6666

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	06/16/2018

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Directions to “CORNELL HEALTHCARE CORP ” Practice Location

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