CAMILA MARIA SORIANO CORNEJO
NPI 1407579592
Counselor - Mental Health in Bronx, NY
About Camila Maria Soriano Cornejo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAMILA MARIA SORIANO CORNEJO (NPI 1407579592) is an individual mental health provider in Bronx, New York and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Camila Maria Soriano Cornejo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Camila Soriano Cornejo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Toms River, NJ 08753
- Reassigned Medicare billing, New York enrollment
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Camila Soriano Cornejo's NPI number?
The NPI number for Camila Soriano Cornejo is 1407579592. It was assigned to this individual provider in the NPPES registry on September 22, 2022.
Where is Camila Soriano Cornejo located?
Camila Soriano Cornejo practices at 579 Courtlandt Avenue, Bronx, NY 10451. The listed phone number is (718) 485-2100.
What is Camila Soriano Cornejo's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Camila Soriano Cornejo enrolled in Medicare?
Yes. Camila Soriano Cornejo is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Camila Soriano Cornejo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Camila Soriano Cornejo reassigns Medicare benefits to Wagner Medical PC (Toms River, NJ). 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 Camila Soriano Cornejo'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 Camila Soriano Cornejo was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Camila Maria Soriano Cornejo · NPI 1407579592
Mental Health provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since September 22, 2022.
## Identity
- **NPI:** 1407579592 (Entity type: Individual)
- **Enumerated:** September 22, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 579 COURTLANDT AVENUE, Bronx, NY 10451
- **Phone:** (718) 485-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Wagner Medical PC (NPI 1235951187, Toms River, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407579592) · Data from the CMS NPPES public registry.