Stephen Gerard Cosgriff, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI16745 Issued in NJ

Practice address

304 Hackensack St
Wood Ridge, NJ 07075-1300

Phone

(201) 531-0008

Fax

(201) 438-5979

NPI assigned

Mar 31, 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

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114047198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 HACKENSACK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751300",
            "telephone_number": "201-531-0008",
            "fax_number": "201-438-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 HACKENSACK ST",
            "city": "WOOD RIDGE",
            "state": "NJ",
            "postal_code": "070751300",
            "telephone_number": "201-531-0008",
            "fax_number": "201-438-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGRIFF",
        "first_name": "STEPHEN",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI16745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan A Castro, BCBA
• Myong Sun Choe, M.D.
• Cathy Yun Jin Choy, LCSW
• James D Collins, LAC,LCADC, CCS
• Maria Estella Cortes, NP
• Maria De Trizio, M.S. CCC-SLP
• Shanti Dhupar, M.D.
• Alexandra Ditizii
• Meaghan Durham, ATC, LAT, CSCS
• Monica Elkeshk, FNP-BC

• General Practice Dentistry in Wood Ridge, NJ
• Providers in Wood Ridge, NJ by specialty
• General Practice Dentistry 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.