Active NPI
Diane M Cozzo
- Adult Health Nurse Practitioner
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 303508
- Practice address
- 85 High St
Buffalo, NY 14203-1149 - Phone
- (716) 857-8623
- Fax
- (716) 250-5907
- NPI assigned
- Oct 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F303508-1 | NY | |
| Adult Health Nurse Practitioner | 363LA2200X | 303508 | NY | Primary |
Addresses
Primary practice location
85 High St
Buffalo, NY 14203-1149
Mailing address
425 Essjay Rd Ste 170
Williamsville, NY 14221-8235
Phone (716) 630-1219
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02429216 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F303508-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Buffalo Medical Group, P.C. | Current | Accepting new patients | |
| Lakeshore Primary Care Associates LLP | Current | Accepting new patients | |
| Sisters of Charity Hospital of Buffalo New York | Past | Accepting new patients | |
| Mobile Physician Services PLLC | Past | Accepting new patients | |
| Maria Rita Andaya M.D.,PLLC | Past | Accepting new patients | |
| Horizon Health Services Inc | Past | Accepting new patients |
Locations
85 High St
Buffalo, NY 14203
Phone (716) 857-8623
462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612
4855 Camp Rd
Ste 100
Hamburg, NY 14075
Phone (716) 646-1084
325 Essjay Rd
Williamsville, NY 14221
Phone (716) 630-1102
425 Essjay Rd
Ste 170
Williamsville, NY 14221
Phone (716) 630-1219
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HEGDAA
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Williamsville, NY
- NPI 1881659506
-
- Family Medicine Physician
- Hamburg, NY
- NPI 1225250525
-
- Durable Medical Equipment & Medical Supplies
- Lockport, NY
- NPI 1982566782
-
- Community/Behavioral Health Agency
- Getzville, NY
- NPI 1043387152
-
- Internal Medicine Physician
- Lackawanna, NY
- NPI 1184873770
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1194132415
-
- General Acute Care Hospital
- Buffalo, NY
- NPI 1790727543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554336000000",
"number": "1215019930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ESSJAY RD STE 170",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142218235",
"telephone_number": "716-630-1219",
"fax_number": "716-817-1726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031149",
"telephone_number": "716-857-8623",
"fax_number": "716-250-5907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COZZO",
"first_name": "DIANE",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2019-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F303508-1",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "303508",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02429216",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.