| Cornerstone Family Healthcare | |
|
147 Lake Street Newburgh NY 12550-5242 | |
| (845) 563-8000 | |
| (845) 563-8093 |
| Full Name | Cornerstone Family Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 147 Lake Street, Newburgh, New York |
| Authorized Official Name and Position | David Jolly (CEO) |
| Authorized Official Contact | 8452203165 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cornerstone Family Healthcare 2570 Route 9w Suite 10 Cornwall NY 12518-1323 Ph: (845) 220-3100 | Cornerstone Family Healthcare 147 Lake Street Newburgh NY 12550-5242 Ph: (845) 563-8000 |
| NPI Number | 1689669079 |
|---|---|
| Provider Enumeration Date | 09/13/2005 |
| Last Update Date | 01/19/2023 |
| Medicare PECOS PAC ID | 4880610393 |
|---|---|
| Medicare Enrollment ID | O20051024000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689669079 | NPI | - | NPPES |
| WCW271 | Other | NY | MEDICARE ID |
| 331832 | Other | NY | MEDICARE ID |
| 00472931 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 332S00000X | Hearing Aid Equipment | 000425 (New York) | Secondary |
| Provider Name | Jose A Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619072154 PECOS PAC ID: 9234121948 Enrollment ID: I20040401001168 |
| Provider Name | Brian A Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538228382 PECOS PAC ID: 3274516745 Enrollment ID: I20040608000419 |
| Provider Name | Judith Branche |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245452374 PECOS PAC ID: 7911985437 Enrollment ID: I20040712000407 |
| Provider Name | Sylvia Cotto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740215862 PECOS PAC ID: 7214906460 Enrollment ID: I20040925000061 |
| Provider Name | Adeola O Ayodeji |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689660201 PECOS PAC ID: 2062445554 Enrollment ID: I20050915000141 |
| Provider Name | Jonathan P Castro |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1093709479 PECOS PAC ID: 1052344587 Enrollment ID: I20050915000385 |
| Provider Name | Hema Dave |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265437339 PECOS PAC ID: 2466476296 Enrollment ID: I20060119000852 |
| Provider Name | Arnold L Cabasso |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164461711 PECOS PAC ID: 5698786788 Enrollment ID: I20060607000013 |
| Provider Name | Lori A Schneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255379525 PECOS PAC ID: 8123030574 Enrollment ID: I20060629000139 |
| Provider Name | Koreen E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659473494 PECOS PAC ID: 6305842378 Enrollment ID: I20061014000018 |
| Provider Name | Angela Iannitti Hulse |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558462333 PECOS PAC ID: 0446252753 Enrollment ID: I20070215000026 |
| Provider Name | Avi K Silber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508941980 PECOS PAC ID: 7719082353 Enrollment ID: I20070410000559 |
| Provider Name | Harvey L Seigel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952380206 PECOS PAC ID: 8527166875 Enrollment ID: I20070609000143 |
| Provider Name | Chanchal Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063557056 PECOS PAC ID: 1658443759 Enrollment ID: I20080707000583 |
| Provider Name | Joseph J Lanza |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154566826 PECOS PAC ID: 1850440132 Enrollment ID: I20090515000141 |
| Provider Name | Stanley Swaby |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497877666 PECOS PAC ID: 6204974017 Enrollment ID: I20091117000120 |
| Provider Name | Deirdre A Harde-perry |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295932218 PECOS PAC ID: 6800080953 Enrollment ID: I20101102001048 |
| Provider Name | Kerry Eileen Quinn |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386758472 PECOS PAC ID: 0547462392 Enrollment ID: I20101217000570 |
| Provider Name | Sandy Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801949789 PECOS PAC ID: 4981606225 Enrollment ID: I20110510000142 |
| Provider Name | Leslie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043520927 PECOS PAC ID: 6709054505 Enrollment ID: I20110721000834 |
| Provider Name | Eunice Martinez-salazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588950828 PECOS PAC ID: 6507029113 Enrollment ID: I20120518000094 |
| Provider Name | Joshua N Vernatter |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215176540 PECOS PAC ID: 6901057116 Enrollment ID: I20121116000530 |
| Provider Name | Denise Morales |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427199975 PECOS PAC ID: 9739331455 Enrollment ID: I20121204000128 |
| Provider Name | Hugh Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033354014 PECOS PAC ID: 6406081447 Enrollment ID: I20131030000194 |
| Provider Name | Tyler Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306250931 PECOS PAC ID: 4880812072 Enrollment ID: I20140829002194 |
| Provider Name | Evelyn Santiago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700214988 PECOS PAC ID: 4981921939 Enrollment ID: I20150331002602 |
| Provider Name | Lori Baxter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477816973 PECOS PAC ID: 4981924784 Enrollment ID: I20150519001145 |
| Provider Name | Alex A Kamenshikov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356747778 PECOS PAC ID: 0840501292 Enrollment ID: I20150625001932 |
| Provider Name | Ronald H Gomez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477959898 PECOS PAC ID: 1254643588 Enrollment ID: I20150630000414 |
| Provider Name | Natalie M Jouve |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962782904 PECOS PAC ID: 4284863853 Enrollment ID: I20150902000853 |
| Provider Name | Chelsae E Polizzano |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1902212236 PECOS PAC ID: 8224350442 Enrollment ID: I20151109000685 |
| Provider Name | Noelle Mary Ziemins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104206804 PECOS PAC ID: 3476856790 Enrollment ID: I20160120002337 |
| Provider Name | Penelope J Guccione |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861875114 PECOS PAC ID: 7012213200 Enrollment ID: I20160315000916 |
| Provider Name | Allan Fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144597527 PECOS PAC ID: 2062646425 Enrollment ID: I20161011002064 |
| Provider Name | Wendy D Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760925689 PECOS PAC ID: 4880977198 Enrollment ID: I20170213000712 |
| Provider Name | Jennifer Mclane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154791242 PECOS PAC ID: 6204111404 Enrollment ID: I20170331000219 |
| Provider Name | Theresa M Mastronardi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891082269 PECOS PAC ID: 7315210986 Enrollment ID: I20170901000468 |
| Provider Name | Benjamin S Stanley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1396256715 PECOS PAC ID: 2062773559 Enrollment ID: I20180226000284 |
| Provider Name | Cheryl A. Briggins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780060244 PECOS PAC ID: 1557670882 Enrollment ID: I20180502000546 |
| Provider Name | Patrice Toussaint Corielus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952646465 PECOS PAC ID: 9234493057 Enrollment ID: I20180503000251 |
| Provider Name | Yvette Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679586630 PECOS PAC ID: 1456582147 Enrollment ID: I20180504000810 |
| Provider Name | Jennifer M Deekens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659628865 PECOS PAC ID: 8123346376 Enrollment ID: I20180925000267 |
| Provider Name | Ryan Meshulam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013200138 PECOS PAC ID: 3476866740 Enrollment ID: I20181205003738 |
| Provider Name | Yolanda Sanabria-rosado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548736408 PECOS PAC ID: 6103160841 Enrollment ID: I20181206000675 |
| Provider Name | Jennifer D Cackowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467839258 PECOS PAC ID: 8224373980 Enrollment ID: I20181227001817 |
| Provider Name | Lilia S Watson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891263919 PECOS PAC ID: 4587909163 Enrollment ID: I20181231001619 |
| Provider Name | Gbolagade O Babalola |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952301681 PECOS PAC ID: 2062443633 Enrollment ID: I20190130002251 |
| Provider Name | Shahana Ayub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972919140 PECOS PAC ID: 5395070114 Enrollment ID: I20190716000773 |
| Provider Name | Joshua H Raskin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841648912 PECOS PAC ID: 1153658190 Enrollment ID: I20190813003102 |
| Provider Name | Mariana D Maeda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780292037 PECOS PAC ID: 5496167843 Enrollment ID: I20201209001707 |
| Provider Name | Ashwin S Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083141360 PECOS PAC ID: 4789934951 Enrollment ID: I20201221002729 |
| Provider Name | Nazar Muhammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457705188 PECOS PAC ID: 7618215658 Enrollment ID: I20201222000302 |
| Provider Name | Anna J Hernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689088577 PECOS PAC ID: 6204248982 Enrollment ID: I20201222002206 |
| Provider Name | Sarah Brady |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1386251288 PECOS PAC ID: 0941612519 Enrollment ID: I20201224000252 |
| Provider Name | Neha Sood |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467807941 PECOS PAC ID: 1052656147 Enrollment ID: I20201229002668 |
| Provider Name | Nakisha Y Pierce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508340621 PECOS PAC ID: 9335552611 Enrollment ID: I20210105001957 |
| Provider Name | Emmanuel Jesse Barracoso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740886001 PECOS PAC ID: 0648686378 Enrollment ID: I20210304000853 |
| Provider Name | Theodean O Smith-lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003420472 PECOS PAC ID: 6204243256 Enrollment ID: I20210318002058 |
| Provider Name | Carline Louis Jacques |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942375928 PECOS PAC ID: 9739111618 Enrollment ID: I20210325000332 |
| Provider Name | Jason Taniguchi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245572155 PECOS PAC ID: 4385052794 Enrollment ID: I20210426000357 |
| Provider Name | Frank Mcdermott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053791426 PECOS PAC ID: 3072933118 Enrollment ID: I20210902002771 |
| Provider Name | Erin Kathleen Doherty Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326209016 PECOS PAC ID: 7214322353 Enrollment ID: I20220328001074 |
| Provider Name | Emma L Picciano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497239685 PECOS PAC ID: 1658767025 Enrollment ID: I20220412000932 |
| Provider Name | Nioly Bowrey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295488724 PECOS PAC ID: 0648666958 Enrollment ID: I20220413000210 |
| Provider Name | Pooja Palkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992158505 PECOS PAC ID: 3173860541 Enrollment ID: I20220708000378 |
| Provider Name | Sara N Estes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730815739 PECOS PAC ID: 1557738986 Enrollment ID: I20221027002216 |
| Provider Name | Marie Diane James |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235113853 PECOS PAC ID: 0941470090 Enrollment ID: I20221110002670 |
| Provider Name | Nicole S Mikula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598223174 PECOS PAC ID: 1850763053 Enrollment ID: I20230216002633 |
| Provider Name | Cynthia B Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356851810 PECOS PAC ID: 2466826748 Enrollment ID: I20230328002859 |
| Provider Name | Margaret Speedling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033846290 PECOS PAC ID: 5294196739 Enrollment ID: I20230801002005 |
| Provider Name | Feliciana E Montalico Juli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158784 PECOS PAC ID: 2163890336 Enrollment ID: I20230823000947 |
| Provider Name | Tara Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235693532 PECOS PAC ID: 3375906852 Enrollment ID: I20230831000354 |
| Provider Name | Munyaradz E Rwakonda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316645484 PECOS PAC ID: 9032572458 Enrollment ID: I20230831002713 |
| Provider Name | Alberto D Gonzalez Zacarias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588272983 PECOS PAC ID: 1850746629 Enrollment ID: I20231013002362 |
| Provider Name | Candice M Cestone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013784651 PECOS PAC ID: 4587009576 Enrollment ID: I20240229001835 |
| Provider Name | Lucky K Larrosa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104312933 PECOS PAC ID: 7517304595 Enrollment ID: I20240326003175 |
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