Active NPI
Joann C. Cozza, DO
- Pediatrics Physician
- Conshohocken, PA
National Provider Identifier
1215997499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OS006621L
- Practice address
- 625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428 - Phone
- (610) 825-1994
- Fax
- (610) 825-2949
- NPI assigned
- Mar 23, 2006
- Last updated
- Oct 15, 2024
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS006621L | PA | Primary |
Addresses
Primary practice location
625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428
Mailing address
625 West Ridge Pike
BLDG a, Ste 300
Conshohocken, PA 19428
Phone (610) 825-1994
Other practice location 1
821 Huntingdon Pike Ste 207
Huntingdon Valley, PA 19006-8372
Phone (215) 322-0800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS006621L | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Pediatrics, Inc | Pediatrics | Past | Accepting new patients |
| Robert M Selig MD T a Andorra Pediatrics | Pediatrics | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1659326940
-
- Pediatrics Physician
- Elkins Park, PA
- NPI 1235176397
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1215997499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 WEST RIDGE PIKE",
"address_2": "BLDG A, STE 300",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "610-825-1994",
"fax_number": "610-825-2949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 WEST RIDGE PIKE",
"address_2": "BLDG A, STE 300",
"city": "CONSHOHOCKEN",
"state": "PA",
"postal_code": "19428",
"telephone_number": "610-825-1994",
"fax_number": "610-825-2949"
}
],
"practiceLocations": [
{
"address_1": "821 Huntingdon Pike Ste 207",
"address_purpose": "LOCATION",
"city": "Huntingdon Valley",
"state": "PA",
"postal_code": "190068372",
"country_code": "US",
"telephone_number": "215-322-0800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COZZA",
"first_name": "JOANN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-23",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS006621L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conshohocken, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.