DR. JUAN CARLOS CORNEJO (NPI# 1952568974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952568974 |
| Entity Type | Individual |
| Full Name | DR. JUAN CARLOS CORNEJO |
| Credential | DO |
| Practice Address |
113 White Horse Rd W Suite 7 Voorhees NJ 08043-3672 |
| Practice Telephone | 8565522208 |
| Practice Fax Number | 8562833158 |
| Mailing Telephone | 8565522208 |
| Mailing Fax Number | 8562833158 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2014-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
OS014255 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
25MB08477000 | NJ | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
0102202824 | VA | Allopathic & Osteopathic Physicians |
| N | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
H0072462 | MD | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164751525 | Juan Adrian Cornejo | Obstetrics & Gynecology | 2115 Duncan Regional Loop, Duncan, OK 73533-1570 | 2009-12-15 |
| 1740772151 | Juan Pablo Cornejo | Counselor | 3660 Fairmount Ave, San Diego, CA 92105-3422 | 2018-05-31 |
| 1598058521 | Juan Ramon Cornejo Sr. | Counselor | 1001 Potrero Ave., San Francisco, CA 94110-2322 | 2011-05-24 |
| 1154374445 | Juan A Cornejo | Family Medicine | 4303 Live Oak Drive, Little River, SC 29566 | 2006-05-18 |
| Street Address |
113 WHITE HORSE RD W SUITE 7 |
| City | VOORHEES |
| State | NJ |
| Zip Code | 08043-3672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669537320 | Lori O'leary | Counselor | 113 White Horse Rd W, Kirkwood Plaza, Suite 7, Voorhees, NJ 08043-3672 | 2006-12-23 |
| 1023433604 | Momentum Medicine Plus LLC | Family Medicine | 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043-3672 | 2014-02-19 |
| 1710214606 | Hillary N Lebowitz | Social Worker | 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043-3672 | 2009-11-12 |
| 1437300753 | Interim Healthcare of Nj | Home Health | 113 White Horse Rd W, Unit 9, Voorhees, NJ 08043-3672 | 2008-10-06 |
| 1972752491 | O'leary Counseling, LLC | Counselor | 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043-3672 | 2008-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679186308 | Priya P Amin | Chiropractor | 1307 White Horse Road, Building B Suite 200, Voorhees, NJ 08043 | 2020-08-24 |
| 1184233207 | Creek Healthcare Services LLC | Community/Behavioral Health | 39 William Feather Drive, Voorhees Township, NJ 08043 | 2020-07-24 |
| 1689215345 | Julia Amariti | Dietitian, Registered | 2309 E Evesham Rd Ste 101b, Voorhees, NJ 08043 | 2019-10-03 |
| 1457821787 | Hcp Voorhees Township Nj Opco, LLC | Alzheimer Center (Dementia Center) | 1301 Laurel Oak Road, Voorhees Township, NJ 08043 | 2018-11-29 |
| 1003386665 | Durand, Inc. | In Home Supportive Care | 107 Camden Avenue, Voorhees, NJ 08043 | 2018-11-27 |
| 1285103663 | Samaritan Healthcare & Hospice, Inc. | Hospice, Inpatient | 265 Route 73 South, Voorhees, NJ 08043 | 2018-11-15 |
| 1184192734 | Michelle Ko | Physician Assistant | 900 Centennial Blvd Ste K, Voorhees, NJ 08043 | 2018-11-12 |
| 1346716107 | Ashlee Barton | Counselor | 1103 Sheppard Rd, Voorhees Township, NJ 08043 | 2018-10-19 |
| 1033691472 | Carolyn A Gribbin | Social Worker | 3033 5th Street, Voorhees, NJ 08043 | 2018-09-01 |
| 1164902193 | Paul Pierson | Physical Therapist | 1010 Haddonfield Berlin Rd Ste 401, Voorhees, NJ 08043 | 2018-08-20 |
| Find all providers in zip 08043 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023433604 | Momentum Medicine Plus LLC | Family Medicine | 113 White Horse Rd W, Suite 7, Voorhees, NJ 08043-3672 | 2014-02-19 |
| 1215978630 | Rothman Institute of New Jersey P A | Family Medicine | 443 Laurel Oak Rd, Suite 130, Voorhees, NJ 08043-4451 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801270095 | Matthew Parisi | Family Medicine | 186 County Road 520 Ste 3, Morganville, NJ 07751-1246 | 2015-07-17 |
| 1679991145 | Jason Anthony Krystofiak | Family Medicine | 200 S Orange Ave Ste 118, Livingston, NJ 07039-5817 | 2014-04-02 |
| 1629419163 | Sports Management Institute LLC | Family Medicine | 14-20 Watsessing Ave, Bloomfield, NJ 07003-4611 | 2013-07-12 |
| 1134564768 | Christopher Chong | Family Medicine | 1 Brace Rd Ste B5, Cherry Hill, NJ 08034-2600 | 2013-05-09 |
| 1700221561 | Elad Tennen | Family Medicine | 2315 Highway 34 Ste D, Manasquan, NJ 08736-1444 | 2013-05-07 |
| 1154642486 | Melissa Mascaro | Family Medicine | 1 Bay Ave Fl 3, Montclair, NJ 07042-4837 | 2010-06-22 |
| 1649430109 | Bryan Richard Barrett | Family Medicine | 2500 English Creek Ave Ste 909, Egg Harbor Township, NJ 08234-5587 | 2008-06-09 |
| 1477723245 | Lourdes Medical Associates, Pa | Family Medicine | 728 Marne Hwy Ste 100c, Moorestown, NJ 08057-3128 | 2008-03-07 |
| 1437332749 | New Jersey Sports Medicine and Performance Center LLC | Family Medicine | 689 Valley Rd Ste 104, Gillette, NJ 07933-1906 | 2007-12-10 |
| 1801010723 | Thomas W Plut | Family Medicine | 728 Marne Hwy Ste 100c-3, Moorestown, NJ 08057-3128 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.