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DR. JORGE LUIS CORNIELLE MD
NPI 1255408365
Pediatrics in Bronx, NY

Active since November 30, 2006PECOS Enrolled
1262 BOSTON RD, BRONX, NY 10456(718) 617-2500(718) 617-0500 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Jorge Luis Cornielle Md NPPES

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

DR. JORGE LUIS CORNIELLE MD (NPI 1255408365) is an individual pediatrics provider in Bronx, New York, licensed in New York (214716) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255408365
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JORGE LUIS CORNIELLECredential: MD
Location Address1262 BOSTON RDBronx, NY 10456-3602
Mailing Address102 Princeton DrTappan, NY 10983-1026 · (845) 398-3043
Phone(718) 617-2500
Fax(718) 617-0500
Sole ProprietorYes
Enumeration DateNovember 30, 2006
Last NPPES UpdateDecember 8, 2011
✔ NPI 1255408365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 214716
Definition
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.
1262 BOSTON RD, Bronx, NY 10456
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Other Identifiers 1

Medicaid02087341NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jorge Luis Cornielle Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jorge Cornielle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brmc Medical PLLC
Same address
Specialist
1262 BOSTON RD, 2ND FLOOR
Bronx, NY 10456
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1629358908 (718) 617-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOSTON PEDIATRICS PLLC
Nurse Practitioner
1262 BOSTON RD
BRONX, NY 10456
Bronx County (718) 617-2500
DR. HANNY MERCEDES HERNANDEZ D.P.M
Podiatrist (Foot & Ankle Surgery)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (347) 862-9092
ESTEFANY YANERYS MORILLO TAMAYO M.D
Pediatrics
1262 BOSTON RD, SUITE 1
BRONX, NY 10456
Bronx County (718) 617-2500
MARCIA PEHR DO
Emergency Medicine
1262 BOSTON RD, SUITE 2
BRONX, NY 10456
Bronx County (718) 569-7929
BOSTON PEDIATRICS, PLLC
Pediatrics
1262 BOSTON RD, SUITE 1
BRONX, NY 10456
Bronx County (718) 617-2500
MS. ROMY G FABAL FNP
Nurse Practitioner (Family)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (718) 617-2500
HEART OF NY CARDIOLOGY, PC
Internal Medicine (Interventional Cardiology)
1262 BOSTON RD
BRONX, NY 10456
Bronx County (917) 991-7563
CECILIA GRISELDA CALDERON MD
Internal Medicine
1262 BOSTON RD, SUITE 2
BRONX, NY 10456
Bronx County (718) 569-7929

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 Jorge Cornielle's NPI number?

The NPI number for Jorge Cornielle is 1255408365. It was assigned to this individual provider in the NPPES registry on November 30, 2006.

Where is Jorge Cornielle located?

Jorge Cornielle practices at 1262 Boston Rd, Bronx, NY 10456. The listed phone number is (718) 617-2500.

What is Jorge Cornielle's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jorge Cornielle enrolled in Medicare?

Yes. Jorge Cornielle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jorge Cornielle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Cornielle reassigns Medicare benefits to Brmc Medical PLLC (Bronx, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jorge Cornielle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jorge Cornielle was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.