John Cooke, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07095800 Issued in NJ

Legal business name

JOHN COOKE, MD, LLC

Practice address

516 Bloomfield Ave
Suite 4
Montclair, NJ 07042-3429

Phone

(973) 509-1500

Fax

(973) 509-1919

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Richard Cooke, M.D.NPI 1083895114

Title

Owner/Director

Phone

(973) 768-1005

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Cooke, M.D.

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1083895114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1083035497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 SAINT LUKES PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422139",
            "telephone_number": "973-768-1005",
            "fax_number": "973-509-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 BLOOMFIELD AVE",
            "address_2": "SUITE 4",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423429",
            "telephone_number": "973-509-1500",
            "fax_number": "973-509-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN COOKE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COOKE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "973-768-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07095800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8256004",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noelle K. Jensen, LCSW
• Angela Jiang
• Ze Jiang
• Jill Tolia MD LLC
• Johannarosenfield LLC
• John E. Robinton M.D. P.a.
• John J K Tan MD PA
• Diamond Jones
• Gerald Jones
• Euloiza Jorge, LCSW

• Psychiatry Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.