Individual provider Active NPI

Ramin Barry Cocoziello, M.D.

  • Specialist
  • Fair Lawn, NJ
National Provider Identifier
1053344077
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA061851 Issued in NJ
Practice address
12-15 Broadway
Suite E
Fair Lawn, NJ 07410-2031
Phone
(201) 794-0910
Fax
(201) 794-2164
NPI assigned
Jul 10, 2006
Last updated
Aug 29, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA061851 NJ Primary

Addresses

Primary practice location

12-15 Broadway
Suite E
Fair Lawn, NJ 07410-2031

Mailing address

21 Christopher PL
Saddle River, NJ 07458-2903
Phone (201) 794-0910

Other identifiers 11

IdentifierTypeStateIssuer
12603OtherNJUHP
6564101MedicaidNJ
0K1480OtherNJHEALTH NET
0201743OtherNJGHI
0809342000OtherNJAMERIHEALTH
P394261OtherNJOXFORD
3057336007OtherNJCIGNA
14138OtherNJAMERIGROUP
537197OtherNJAETNA
01000035500OtherNJAMERICHOICE
1042204OtherNJHORIZON NJ HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040831001287 NJ Practitioner - Obstetrics/Gynecology 6002881216 Practice locations: Fair Lawn, NJ

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12 -15 Broadway
Suite E
Fair Lawn, NJ 07410-2031
Phone (201) 794-0910

12 -15 Broadway E
Fair Lawn, NJ 07410-2031

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA061851NJMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ramin B Cocoziello MD PC Specialist PastSince Sep 7, 1995 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1053344077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHRISTOPHER PL",
            "city": "SADDLE RIVER",
            "state": "NJ",
            "postal_code": "074582903",
            "telephone_number": "201-794-0910",
            "fax_number": "201-794-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-15 BROADWAY",
            "address_2": "SUITE E",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102031",
            "telephone_number": "201-794-0910",
            "fax_number": "201-794-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCOZIELLO",
        "first_name": "RAMIN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA061851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHP",
            "identifier": "12603",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6564101",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "0K1480",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0201743",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0809342000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P394261",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3057336007",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "14138",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "537197",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01000035500",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1042204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

Verify at the official NPI Registry.