Alex and Susan Cocoziello

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

ALEX AND SUSAN COCOZIELLO

Doing business as

Cocoziello and Cocoziello

Practice address

1 Broadway
Suite 303
Elmwood Park, NJ 07407

Phone

(201) 794-7717

Fax

(201) 794-0335

NPI assigned

Oct 19, 2010

Last updated

Oct 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Cocoziello, D.O.

Title

Physician

Phone

(201) 794-7717

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Cocoziello and Cocoziello Doing business as

Locations

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1174833545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE BROADWAY",
            "address_2": "SUITE 303",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-794-7717",
            "fax_number": "201-795-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BROADWAY",
            "address_2": "SUITE 303",
            "city": "ELMWOOD PARK",
            "state": "NJ",
            "postal_code": "07407",
            "telephone_number": "201-794-7717",
            "fax_number": "201-794-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX AND SUSAN COCOZIELLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "COCOZIELLO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "201-794-7717",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3150208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cocoziello and Cocoziello",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.