Active NPI
Kristin Cook, MD
- Vascular Surgery Physician
- Hackensack, NJ
National Provider Identifier
1093976466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MA09319700
- Practice address
- 211 Essex St Ste 102
Hackensack, NJ 07601-3244 - Phone
- (201) 487-2144
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170912000062 | NJ | Practitioner - Vascular Surgery | 2567735681 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bergen Surgical Specialists, PA | Current | Accepting new patients | |
| Hackensack Vascular Specialists LLC | Current | Accepting new patients |
Locations
211 Essex St
Ste 102
Hackensack, NJ 07601
Phone (201) 487-8882
30 Prospect Ave
Rm G231
Hackensack, NJ 07601
Phone (201) 996-2317
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 and National Provider Directory roles.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denville, NJ
- NPI 1598144362
Hospital
-
- General Acute Care Hospital
- Passaic, NJ
- NPI 1770901761
Hospital
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 LLCBergen Surgical Specialists,P.a.
Practice addresses (Care Compare)
211 Essex St
Hackensack, NJ 07601-3244
Phone (201) 487-8882
Hospital & facility affiliations
- Saint Clare'S Hospital/ Denville Campus
- Hackensack University Medical Center
- Palisades Medical Center
- St Mary'S General Hospital
- Morristown Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.32 of 100
- Quality
- 96.41
- Improvement activities
- 40
- Cost
- 64.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 29 |
| Removal of tissue | 1-10 |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.