NPIMap

Individual provider Active NPI

Kristin Cook, MD

  • Vascular Surgery Physician
  • Hackensack, NJ
National Provider Identifier
1093976466
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
25MA09319700 Issued in NJ
Practice address
211 Essex St Ste 102
Hackensack, NJ 07601-3244
Phone
(201) 487-2144
NPI assigned
Jun 19, 2008
Last updated
Apr 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 25MA09319700 NJ Primary

Addresses

Primary practice location

211 Essex St Ste 102
Hackensack, NJ 07601-3244

Mailing address

211 Essex St Ste 201
Hackensack, NJ 07601-3231
Phone (201) 487-8882

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170912000062 NJ Practitioner - Vascular Surgery 2567735681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
George Washington University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Vascular Specialists LLCGroup PAC ID 5597992412, 3 clinicians
Bergen Surgical Specialists,P.a.Group PAC ID 0244231215, 6 clinicians

Practice addresses (Care Compare)

211 Essex St
Hackensack, NJ 07601-3244
Phone (201) 487-8882

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.32 of 100Reported as group
Quality
96.41
Improvement activities
40
Cost
64.67

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)29
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bergen Surgical Specialists, PA CurrentSince Aug 1, 2024 Accepting new patients
Hackensack Vascular Specialists LLC CurrentSince Aug 1, 2017 Accepting new patients

Locations

211 Essex St
Ste 102
Hackensack, NJ 07601
Phone (201) 487-8882

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 7

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1093976466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 201",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013231",
            "telephone_number": "201-487-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ESSEX ST STE 102",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013244",
            "telephone_number": "201-487-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NJ",
            "license": "25MA09319700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.