Mark A Cottrell, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00608200 Issued in NJ

Practice address

875 Poole Ave
Hazlet, NJ 07730-2041

Phone

(732) 264-9444

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Dr. Andrew Pagnotta D.C., P.C.

  • Chiropractor
  • Forked River, NJ
  • NPI 1548273378
  NPD (past)
• Joffe Chiropractic PC

  dba Mule Road Chiropractic

  • Chiropractor
  • Whiting, NJ
  • NPI 1104104967
  NPD (past)
• Premier Dermatology Clinic LLC

  • Dermatology Physician
  • Toms River, NJ
  • NPI 1598354995
  NPD (past)

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063550598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MANTOLOKING RD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087235814",
            "telephone_number": "732-477-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 POOLE AVE",
            "city": "HAZLET",
            "state": "NJ",
            "postal_code": "077302041",
            "telephone_number": "732-264-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTRELL",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00608200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Denise Cosmi-Godau, LPC
• Costco Wholesale Corporation (Costco Hearing Aid #222)
• Costco Wholesale Corporation (Costco Optical #222)
• Costco Wholesale Corporation
• Harvey David Cottrell II, LCSW, LICSW
• Tami M Cottrell, DC
• Cranial Remolding Center, Inc
• Peter Vincent Crapanzano Sr., DDS
• Melissa Crespo-Donlon, LPC, ATR-BC
• Evan Cress

• Chiropractor in Hazlet, NJ
• Providers in Hazlet, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.