Jeffrey Harris Kossow, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

25MA03057400 Issued in NJ

Practice address

414 Fireside LN
Cherry Hill, NJ 08003-3418

Phone

(856) 429-0458

NPI assigned

May 25, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/uc33702_centerforadvancedurologysalem

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.

• Atlantic Lithotripsy

  • Lithotripsy Clinic/Center
  • Marlton, NJ
  • NPI 1245285634
  NPD (past)
• Center for Advanced Urology

  • Urology Physician
  • Salem, NJ
  • NPI 1598720443
  NPD (past)
• CMC Department of Medicine Group PA

  • Specialist
  • Camden, NJ
  • NPI 1386682094
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1144276023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 FIRESIDE LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033418",
            "telephone_number": "856-429-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 FIRESIDE LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033418",
            "telephone_number": "856-429-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSSOW",
        "first_name": "JEFFREY",
        "middle_name": "HARRIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA03057400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7196202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Evan Korn, M.S.W., L.C.S.W.
• Carol L Kornmehl, M.D.
• Melinda Korte, MT-BC
• Todd Koser, PSY.D.
• Jill D. Koshak-Johnson, PT
• Erika Louann Kostishak
• Angelika Kot
• Sharon Toomey Kotch, PSY.D.
• Anil G Kothari, MD
• Nikhita Kothari, DO

• Urology Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Urology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.