Individual provider Active NPI

Alexander R Cocoziello, D.O.

  • Specialist
  • Saddle Brook, NJ
National Provider Identifier
1043384316
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MB24994 Issued in NJ
Practice address
444 Market St 2B
Saddle Brook, NJ 07663-5996
Phone
(201) 794-8773
Fax
(201) 794-0335
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MB24994 NJ Primary

Addresses

Primary practice location

444 Market St 2B
Saddle Brook, NJ 07663-5996

Mailing address

444 Market St 2B
Saddle Brook, NJ 07663-5996
Phone (201) 794-8773

Other identifiers 2

IdentifierTypeStateIssuer
1948105MedicaidNJ
160334OtherNJMEDICARE - TYPE SPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MB24994NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann & Sharma PastSince Feb 2, 2017 Accepting new patients
Barnert FCC Housemeds Group Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1043384316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 MARKET ST 2B",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-794-8773",
            "fax_number": "201-794-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 MARKET ST 2B",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "076635996",
            "telephone_number": "201-794-8773",
            "fax_number": "201-794-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCOZIELLO",
        "first_name": "ALEXANDER",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MB24994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1948105",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - TYPE SPECIFIED",
            "identifier": "160334",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saddle Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.