John Cooke, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA07095800 Issued in NJ

Practice address

516 Bloomfield Ave
Suite 4
Montclair, NJ 07042-3429

Phone

(973) 509-1500

Fax

(973) 509-1919

NPI assigned

Nov 16, 2007

Last updated

Mar 13, 2015By 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

Other identifiers 1

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

Specialty

PsychiatryAlso: Addiction Medicine

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• John Cooke, MD, LLC

  • Psychiatry Physician
  • Montclair, NJ
  • NPI 1083035497
  Medicare reassignment NPD Authorized official
• Nbimc Department of Psychiatry

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1003874694
  NPD (past)

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1083895114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "last_name": "COOKE",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_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": []
}

• Community Milestones
• Compassion Care Home Health Services LLC
• Claire Conahan
• Elizabeth Conley, APN
• Connections Care Management, LLC
• Elizabeth A. Cooney, ATC LAT
• Cope Center, Inc.
• Cope Center, Inc.
• Cope Center, Inc.
• Cope Center,Inc.

• 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 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.