Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roberto Cornielle, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1497649925

Roberto Cornielle, PHYSICALTHERAPIST is a Physical Therapist in Private Practice in Paterson, New Jersey. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

407 E 30th St # 2
Paterson, NJ 07504-1635
Phone: (201) 790-7943
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA02322400 (NJ)

Record details

NPI number1497649925
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 3, 2025
Mailing address407 E 30th St # 2, Paterson, NJ 07504-1635

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Paterson