Provider Demographics
NPI:1477549657
Name:CORNELL HEALTHCARE CORP
Entity Type:Organization
Organization Name:CORNELL HEALTHCARE CORP
Other - Org Name:MR MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BATISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-247-6666
Mailing Address - Street 1:368 LINCOLN BLVD
Mailing Address - Street 2:
Mailing Address - City:MIDDLESEX
Mailing Address - State:NJ
Mailing Address - Zip Code:08846-2372
Mailing Address - Country:US
Mailing Address - Phone:732-247-6666
Mailing Address - Fax:732-247-6664
Practice Address - Street 1:368 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MIDDLESEX
Practice Address - State:NJ
Practice Address - Zip Code:08846-2372
Practice Address - Country:US
Practice Address - Phone:732-247-6666
Practice Address - Fax:732-247-6664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-23
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA205566OtherHIMARK BLUE CROSS
NJ6910301Medicaid
PA30005813OtherKEYSTONE MERCY
9016267OtherCIGNA
CT003099688Medicaid
OH0114834Medicaid
PA0015782100003Medicaid
NJ1152976OtherHORIZON NJ HEALTH
1538865OtherGATEWAY
175614OtherELDER PLAN
MI4542042Medicaid
NY01650655Medicaid
A2521948OtherOXFORD
PA0015782100003Medicaid