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DR. JOHN WALLACE CORNWALL M.D.
NPI 1174613400
Internal Medicine in New York, NY

Active since October 16, 2006
55 CENTRAL PARK W # 1-DB, NEW YORK, NY 10023(212) 799-0630(212) 799-4266 Get Directions Write a Review

NPPES record last updated: March 19, 2008. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Dr. John Wallace Cornwall M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN WALLACE CORNWALL M.D. (NPI 1174613400) is an individual internal medicine provider in New York, New York, licensed in New York (124680) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1174613400
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOHN WALLACE CORNWALLCredential: M.D.
Location Address55 CENTRAL PARK W # 1-DBNew York, NY 10023-6003
Mailing Address55 Central Park W # 1-dbNew York, NY 10023-6003 · (212) 799-0630 · Fax (212) 799-4266
Phone(212) 799-0630
Fax(212) 799-4266
Sole ProprietorYes
Enumeration DateOctober 16, 2006
Last NPPES UpdateMarch 19, 2008
✔ NPI 1174613400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 124680
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
55 CENTRAL PARK W # 1-DB, New York, NY 10023
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Other Identifiers 2

Medicare PIN26A131NY
Medicare UPINCO7384

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Cornwall's NPI number?

The NPI number for John Cornwall is 1174613400. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is John Cornwall located?

John Cornwall practices at 55 Central Park W # 1-Db, New York, NY 10023. The listed phone number is (212) 799-0630.

What is John Cornwall's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for John Cornwall was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.